Lawrence Anthony Carcelli, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

871138852501 Issued in UT

Practice address

425 E 5350 S
370
Ogden, UT 84405-6946

Phone

(801) 317-1884

Fax

(801) 479-8286

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720141435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150307",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84403",
            "telephone_number": "801-317-1884",
            "fax_number": "801-479-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 5350 S",
            "address_2": "370",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056946",
            "telephone_number": "801-317-1884",
            "fax_number": "801-479-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCELLI",
        "first_name": "LAWRENCE",
        "middle_name": "ANTHONY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "871138852501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canyon River Ranch
• Robert Jerry Capener, D.M.D.
• Steven J Carabine, M.D.
• Caralee Child, LCSW, PLLC
• Carcelli & Carcelli PC
• Susan Jones Carcelli, PH.D.
• Nancy Xenede Card, LCSW
• Kerri Cardenas
• Taelyn Cardenas
• Mackenzie Cardon

• All providers in Ogden, UT
• Psychologist in Utah

• 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.

Verify at the official NPI Registry.