Individual provider Active NPI

Carla Renae Arlien, PH.D.

  • Clinical Psychologist
  • Poland, OH
National Provider Identifier
1649362807
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6644 Issued in OH
Practice address
819 Southwestern Run Ste 2
Poland, OH 44514-3623
Phone
(330) 953-1354
Fax
(330) 953-1364
NPI assigned
Sep 28, 2006
Last updated
Nov 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6644 OH
Clinical Neuropsychologist 103G00000X PS15015878 PA
Clinical Psychologist 103TC0700X PS15015878 PA
Clinical Psychologist 103TC0700X 6644 OH Primary

Addresses

Primary practice location

819 Southwestern Run Ste 2
Poland, OH 44514-3623

Mailing address

PO Box 5545
Poland, OH 44514-0545
Phone (330) 953-1354

Other practice location 1

3582 Brodhead Rd Ste 104
Monaca, PA 15061-3142
Phone (724) 512-0900

Other identifiers 2

IdentifierTypeStateIssuer
3072455MedicaidOH
1016188470001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060106000068 PA Practitioner - Clinical Psychologist 1456374362 Reassigns benefits to 1 organization
I20100512000619 OH Practitioner - Clinical Psychologist 1456374362 Reassigns benefits to 1 organization
Practice locations: Poland, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

819 Southwestern Run
Suite 2
Poland, OH 44514-3623
Phone (330) 953-1354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6644OHMDClinical Psychologist
PS15015878PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Neuropsychology Center LLC CurrentSince Jan 16, 2020 Accepting new patients
Carla Renae Arlien PHD LLC Clinical CurrentSince Jan 1, 2011 Accepting new patients
Carla Renae Arlien PHD Clinical CurrentSince Mar 22, 2010 Accepting new patients
Bluestem Behavioral Health Group LLC Past Accepting new patients

Locations

819 Southwestern Run
Ste 2
Poland, OH 44514
Phone (330) 953-1354

945 Windham Ct
Ste 2
Youngstown, OH 44512
Phone (330) 953-1354

3582 Brodhead Rd
Ste 104
Monaca, PA 15061
Phone (724) 457-0858

890 Beaver Grade Rd
Moon Twp, PA 15108
Phone (412) 269-9995

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668297600000",
    "number": "1649362807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5545",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445140545",
            "telephone_number": "330-953-1354",
            "fax_number": "330-953-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SOUTHWESTERN RUN STE 2",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143623",
            "telephone_number": "330-953-1354",
            "fax_number": "330-953-1364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3582 Brodhead Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Monaca",
            "state": "PA",
            "postal_code": "150613142",
            "country_code": "US",
            "telephone_number": "724-512-0900",
            "fax_number": "330-953-1364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARLIEN",
        "first_name": "CARLA",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "6644",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS15015878",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS15015878",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072455",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016188470001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

Verify at the official NPI Registry.