Individual provider Active NPI

George Lee Carey III, MS

  • Psychologist
  • Coopersburg, PA
National Provider Identifier
1841374964
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS005963L Issued in PA
Practice address
6666 Passer Rd Ste 2
Coopersburg, PA 18036-1258
Phone
(484) 353-6544
Fax
(215) 536-8523
NPI assigned
Oct 25, 2006
Last updated
Mar 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS005963L PA Primary

Addresses

Primary practice location

6666 Passer Rd Ste 2
Coopersburg, PA 18036-1258

Mailing address

6666 Passer Rd Ste 2
Coopersburg, PA 18036-1258
Phone (484) 353-6544

Other identifiers 1

IdentifierTypeStateIssuer
696304OtherPAHIGHMARK BLUE SHIELD

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
Master of Science

State licenses

LicenseStateTypeSpecialty
PS005963LPAMDPsychologist

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": "1458518400000",
    "number": "1841374964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 PASSER RD STE 2",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361258",
            "telephone_number": "484-353-6544",
            "fax_number": "215-536-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 PASSER RD STE 2",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361258",
            "telephone_number": "484-353-6544",
            "fax_number": "215-536-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "GEORGE",
        "middle_name": "LEE",
        "name_suffix": "III",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS005963L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "696304",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coopersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.