Carolyn Phelps Phdlp LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LP3015 Issued in MN

Legal business name

CAROLYN PHELPS PHDLP LLC

Doing business as

DreamLife Psychological Services

Practice address

302 W Superior St Ste 502
Duluth, MN 55802-5115

Phone

(218) 341-2834

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Phelps, PHD

Title

Psychologist

Phone

(218) 341-2834

Specialties & licenses 1

Addresses

Other names 1

• DreamLife Psychological Services Doing business as

Locations

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1710467071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W SUPERIOR ST STE 502",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025115",
            "telephone_number": "218-341-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W SUPERIOR ST STE 502",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558025115",
            "telephone_number": "218-341-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN PHELPS PHDLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "218-341-2834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "LP3015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DreamLife Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Lee Carlson, RN, CNS
• Stephanie J Carlson, LICSW
• Stephen Ray Carlson
• Angel Carne
• Lauren Kate Alexander Carolan, APRN, CNP
• Carter Carpentier, PA-S
• Irene Marie Carr
• Theresa Marie Carr, RN, CNS
• Amber Heather Carrington, PA-C
• Jake Edward Carroll

• Mental Health Clinic/Center (Including Community Mental Health Center) in Duluth, MN
• Providers in Duluth, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.