Active NPI
Carl L. Myers, PH.D.
- School Psychologist
- Bowling Green, KY
National Provider Identifier
1821173543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1002
- Practice address
- 1600 Scottsville Rd
Suite 100
Bowling Green, KY 42104-3217 - Phone
- (270) 843-8284
- NPI assigned
- Oct 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1002 | KY | Primary |
Addresses
Primary practice location
1600 Scottsville Rd
Suite 100
Bowling Green, KY 42104-3217
Mailing address
725 Hunters Pointe CT
Bowling Green, KY 42104-7203
Phone (270) 745-4410
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1002 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Child Development Clinics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Bowling Green, KY
- NPI 1417036575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821173543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 HUNTERS POINTE CT",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421047203",
"telephone_number": "270-745-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SCOTTSVILLE RD",
"address_2": "SUITE 100",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043217",
"telephone_number": "270-843-8284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "CARL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "KY",
"license": "1002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.