Active NPI
David E Carr, M.D.
- Psychiatry Physician
- Wampsville, NY
National Provider Identifier
1720008717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 229172-1
- Practice address
- 138 North Court Street
Wampsville, NY 13163 - Phone
- (315) 366-2327
- Fax
- (315) 366-2599
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 229172-1 | NY | Primary |
Addresses
Primary practice location
138 North Court Street
Wampsville, NY 13163
Mailing address
950 Preston Hill Rd
Earlville, NY 13332-3175
Phone (315) 691-2242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00569860 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5 Court St
Suite 42
Norwich, NY 13815-1695
Phone (607) 337-1600
Hospital & facility affiliations
- Chenango Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229172-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Faculty Practice, Inc. | Psychiatry | Past | Accepting new patients |
| Professional Practice Group, Dept. of Psych | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- dcarr@ccbhs.medentdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwich, NY
- NPI 1003846270
-
- Clinical Social Worker
- Syracuse, NY
- NPI 1710929047
Psychiatry
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwich, NY
- NPI 1770593956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1720008717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 PRESTON HILL RD",
"city": "EARLVILLE",
"state": "NY",
"postal_code": "133323175",
"telephone_number": "315-691-2242",
"fax_number": "315-366-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 NORTH COURT STREET",
"city": "WAMPSVILLE",
"state": "NY",
"postal_code": "13163",
"telephone_number": "315-366-2327",
"fax_number": "315-366-2599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "229172-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00569860",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wampsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.