Individual provider Active NPI

Jeffrey David Livingston-Carr, MD

  • Psychiatry Physician
  • Sunnyvale, CA
National Provider Identifier
1780896027
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A99970 Issued in CA
Practice address
660 S Fair Oaks Ave
Sunnyvale Behavioral Health
Sunnyvale, CA 94086-7913
Phone
(408) 992-4844
Fax
(408) 992-4801
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 242025 NY
Psychiatry Physician 2084P0800X A99970 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X A99970 CA
Child & Adolescent Psychiatry Physician 2084P0804X 242025 NY

Addresses

Primary practice location

660 S Fair Oaks Ave
Sunnyvale Behavioral Health
Sunnyvale, CA 94086-7913

Mailing address

660 S Fair Oaks Ave
Sunnyvale Behavioral Health
Sunnyvale, CA 94086-7913
Phone (408) 992-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242025NYMDPsychiatry Physician
A99970CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Solutions for Children, Families, and Individuals CurrentSince Sep 18, 2015 Accepting new patients
Community Solutions for Children, Families and Individuals Current Accepting new patients
Community Solutions for Children, Families and Individuals CurrentSince Sep 18, 2015 Accepting new patients

Locations

9015 Murray Ave
Ste 100
Gilroy, CA 95020
Phone (408) 665-4908

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.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1780896027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S FAIR OAKS AVE",
            "address_2": "SUNNYVALE BEHAVIORAL HEALTH",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867913",
            "telephone_number": "408-992-4844",
            "fax_number": "408-992-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S FAIR OAKS AVE",
            "address_2": "SUNNYVALE BEHAVIORAL HEALTH",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940867913",
            "telephone_number": "408-992-4844",
            "fax_number": "408-992-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON-CARR",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "242025",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A99970",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A99970",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "242025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.