Active NPI
Carole E. West, PHD
- Clinical Psychologist
- Royal Oak, MI
National Provider Identifier
1699076950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301014339
- Practice address
- 603 N Gainsborough Ave
Royal Oak, MI 48067-1938 - Phone
- (248) 607-3455
- Fax
- (248) 592-7053
- NPI assigned
- Nov 3, 2010
- Last updated
- Feb 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301014339 | MI | Primary |
Addresses
Primary practice location
603 N Gainsborough Ave
Royal Oak, MI 48067-1938
Mailing address
603 N Gainsborough Ave
Royal Oak, MI 48067-1938
Phone (248) 607-3455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI4555001 | Other | MI | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
31098 Applewood LN
Farmington Hills, MI 48331-1212
Phone (248) 894-6390
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carole West PHD, PLLC | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1699076950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N GAINSBOROUGH AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671938",
"telephone_number": "248-607-3455",
"fax_number": "248-592-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 N GAINSBOROUGH AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480671938",
"telephone_number": "248-607-3455",
"fax_number": "248-592-7053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "CAROLE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301014339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "MI4555001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.