Renee Carr, PSY.D., LCPC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05522 Issued in MD

Practice address

415 E 33Rd St
Baltimore, MD 21218-3403

Phone

(443) 677-9072

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: drcarr@direct.meditouchehr.com

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470355200000",
    "number": "1841411519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3627",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214030627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 33RD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183403",
            "telephone_number": "443-677-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "1577",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402485100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Carr, CPM
• Katharine Marie Carr, CRNA
• Keshon Carr
• Neil David Carr, M.D.
• Rachel Carr, M.D.
• Shamus Russell Carr, M.D.
• Carol L Carraccio, MD
• Marielie Carrasquillo, PHARMACIST
• Carrcares Therapeutic Services
• Abbey Carreau, M.S, BCBA

• Clinical Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.