Individual provider Active NPI

Carmen Carr-Williams, PSY.D.

  • School Psychologist
  • Whitehall, OH
National Provider Identifier
1659763530
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
OH1-459329 Issued in OH
Practice address
4750 Kae Ave
Whitehall, OH 43213-6100
Phone
(614) 417-5613
Fax
(614) 471-5607
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X OH1-459329 OH Primary

Addresses

Primary practice location

4750 Kae Ave
Whitehall, OH 43213-6100

Mailing address

4750 Kae Ave
Whitehall, OH 43213-6100
Phone (614) 417-5613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OH1-459329OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1659763530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 KAE AVE",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432136100",
            "telephone_number": "614-417-5613",
            "fax_number": "614-471-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 KAE AVE",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432136100",
            "telephone_number": "614-417-5613",
            "fax_number": "614-471-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR-WILLIAMS",
        "first_name": "CARMEN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH1-459329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.