Individual provider Active NPI

Alan James Carotta Jr., M.A., LLP

  • Psychologist
  • Livonia, MI
National Provider Identifier
1740601194
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301015667 Issued in MI
Practice address
34935 Schoolcraft Rd Ste 106
Livonia, MI 48150-1317
Phone
(734) 725-1521
NPI assigned
Jan 1, 2014
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301015667 MI Primary

Addresses

Primary practice location

34935 Schoolcraft Rd Ste 106
Livonia, MI 48150-1317

Mailing address

34935 Schoolcraft Rd Ste 106
Livonia, MI 48150-1317
Phone (313) 725-1521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730001717 MI Practitioner - Psychologist Billing Independently 8426384355 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
D Talk, PLC Psychologist CurrentSince Apr 5, 2020 Accepting new patients
Asnaa Psychologist CurrentSince May 1, 2019 Accepting new patients

Locations

8594 N Canton Center Rd
Canton, MI 48187
Phone (313) 307-0088

19445 W Warren Ave
Detroit, MI 48228
Phone (313) 307-0088

1061 Inkster Rd
Garden City, MI 48135
Phone (313) 307-0088

1061 Inkster Rd
Ste 101
Garden City, MI 48135
Phone (313) 307-0088

34935 Schoolcraft Rd
Ste 106
Livonia, MI 48150
Phone (734) 725-1521

Organizations & group practices 2

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": "1388534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1740601194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34935 SCHOOLCRAFT RD STE 106",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501317",
            "telephone_number": "313-725-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34935 SCHOOLCRAFT RD STE 106",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501317",
            "telephone_number": "734-725-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROTTA",
        "first_name": "ALAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A., LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-01",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.