Individual provider Active NPI

Paul Carrio, PH.D.

  • Psychologist
  • Alpharetta, GA
National Provider Identifier
1750464103
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
08010 Issued in GA
Practice address
121 Arrowood LN
Alpharetta, GA 30004-1801
Phone
(678) 893-0987
NPI assigned
Oct 21, 2006
Reactivated
Dec 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 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 08010 GA Primary

Addresses

Primary practice location

121 Arrowood LN
Alpharetta, GA 30004-1801

Mailing address

121 Arrowood LN
Alpharetta, GA 30004-1801
Phone (678) 893-0987

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
08010GAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1750464103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ARROWOOD LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041801",
            "telephone_number": "678-893-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ARROWOOD LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300041801",
            "telephone_number": "678-893-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIO",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "deactivation_date": "2017-10-11",
        "reactivation_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "08010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.