Active NPI
Carolyn F Cole, PH.D
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1710994140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1000145
- Practice address
- 1616 18TH St NW
Suite 105
Washington, DC 20009-2530 - Phone
- (202) 232-1031
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001315 | VA | |
| Clinical Psychologist | 103TC0700X | 1000145 | DC | Primary |
| Clinical Psychologist | 103TC0700X | 02047 | MD |
Addresses
Primary practice location
1616 18TH St NW
Suite 105
Washington, DC 20009-2530
Mailing address
PO Box 6338
Washington, DC 20015-0338
Phone (202) 232-1031
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000145 | DC | MD | Clinical Psychologist |
| 0810001315 | VA | MD | Clinical Psychologist |
| 02047 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710994140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6338",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200150338",
"telephone_number": "202-232-1031",
"fax_number": "301-585-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 18TH ST NW",
"address_2": "SUITE 105",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200092530",
"telephone_number": "202-232-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "CAROLYN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001315",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "1000145",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "02047",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.