Active NPI
Eric Jaques Carbonell, M.D.
- Psychiatry Physician
- Festus, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2022033244
- Practice address
- 110 N Mill St
Festus, MO 63028-1816 - Phone
- (636) 931-2700
- NPI assigned
- Aug 7, 2006
- Last updated
- Apr 23, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME111815 | FL | |
| Psychiatry Physician | 2084P0800X | 2022033244 | MO | Primary |
Addresses
Primary practice location
110 N Mill St
Festus, MO 63028-1816
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
2020 Talley Rd
Leesburg, FL 34748-3426
Phone (352) 315-7800 ext. 7823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Medical University of South Carolina College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1032 Crosswinds CT
Wentzville, MO 63385-4836
Phone (888) 403-1071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME111815 | FL | MD | Psychiatry Physician |
| 2022033244 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| Compass Health, Inc. | Current | Accepting new patients | |
| Compass Health, Inc | Current | Accepting new patients | |
| TBJ Behavioral Center LLC | Psychiatry | Current | Accepting new patients |
| Compass Health, Inc | Current | Accepting new patients | |
| Huntingdon Healthcare Inc | Psychiatry | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Lifestream Behavioral Center Inc | Past | Accepting new patients | |
| Compass Health, Inc. | Past | Accepting new patients | |
| Lifestream Behavioral Center Inc | Psychiatry | Past | Accepting new patients |
Locations
6300 Beach Blvd
Jacksonville, FL 32216
Phone (904) 724-9202
148 Richardson Xing
Arnold, MO 63010
Phone (314) 454-5437
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
1800 Community
#B
Clinton, MO 64735
110 N Mill St
Festus, MO 63028
227 Main St
Festus, MO 63028
Phone (636) 321-0101
1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000
Networks
- Freedom Health HMO Network
Organizations & group practices 11
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.
-
dba Compass Health Network
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
dba Comtrea, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Festus, MO
- NPI 1598781189
-
dba River Point Hospital
- Psychiatric Hospital
- Jacksonville, FL
- NPI 1568633683
Psychiatry
-
dba Comtrea
- Federally Qualified Health Center (FQHC)
- High Ridge, MO
- NPI 1356751648
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Federally Qualified Health Center (FQHC)
- High Ridge, MO
- NPI 1891040077
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Psychiatry Physician
- Naples, FL
- NPI 1457302614
-
- Primary Care Clinic/Center
- Leesburg, FL
- NPI 1659613776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1801805791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N MILL ST",
"city": "FESTUS",
"state": "MO",
"postal_code": "630281816",
"telephone_number": "636-931-2700"
}
],
"practiceLocations": [
{
"address_1": "2020 Talley Rd",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347483426",
"country_code": "US",
"telephone_number": "352-315-7800 x7823",
"fax_number": "352-315-7893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARBONELL",
"first_name": "ERIC",
"middle_name": "JAQUES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME111815",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2022033244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.