Individual provider Active NPI

Eric Jaques Carbonell, M.D.

  • Psychiatry Physician
  • Festus, MO
National Provider Identifier
1801805791
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2022033244 Issued in MO
Practice address
110 N Mill St
Festus, MO 63028-1816
Phone
(636) 931-2700
NPI assigned
Aug 7, 2006
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040511001292 FL Practitioner - Psychiatry 1456340660 Reassigns benefits to 1 organization
I20221209001334 MO Practitioner - Psychiatry 1456340660 Reassigns benefits to 2 organizations

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
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

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

LicenseStateTypeSpecialty
ME111815FLMDPsychiatry Physician
2022033244MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jul 1, 2023 Accepting new patients
Compass Health, Inc CurrentSince Nov 1, 2022 Accepting new patients
Compass Health, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Compass Health, Inc CurrentSince Jul 1, 2023 Accepting new patients
TBJ Behavioral Center LLC Psychiatry CurrentSince Jun 25, 2022 Accepting new patients
Compass Health, Inc Current Accepting new patients
Huntingdon Healthcare Inc Psychiatry PastSince Jun 1, 2006 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.

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

Verify at the official NPI Registry.