Individual provider Active NPI

Carla L. Dunahoo, PH.D.

  • Clinical Psychologist
  • Salisbury, MD
National Provider Identifier
1841246287
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
03967 Issued in MD
Practice address
409 Camden Ave Apt a
Salisbury, MD 21801-5408
Phone
(410) 219-3555
Fax
(410) 219-2666
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 03967 MD Primary

Addresses

Primary practice location

409 Camden Ave Apt a
Salisbury, MD 21801-5408

Mailing address

409 Camden Ave Apt a
Salisbury, MD 21801-5408
Phone (410) 219-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000149 MD Practitioner - Clinical Psychologist 3274582838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dunahoo Psychological Associates LLCGroup PAC ID 2062663230, 2 clinicians

Practice addresses (Care Compare)

409 Camden Ave
Apt a
Salisbury, MD 21801-5408
Phone (410) 219-3555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03967MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dunahoo Psychological Associates, LLC Clinical CurrentSince Dec 15, 2004 Accepting new patients

Locations

409 Camden Ave
Apt A
Salisbury, MD 21801
Phone (410) 219-3555

540 Riverside Dr
Ste 7
Salisbury, MD 21801
Phone (410) 548-3333

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1841246287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CAMDEN AVE APT A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015408",
            "telephone_number": "410-219-3555",
            "fax_number": "410-219-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CAMDEN AVE APT A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015408",
            "telephone_number": "410-219-3555",
            "fax_number": "410-219-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAHOO",
        "first_name": "CARLA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.