Active NPI
Todd Robert Carr, PSY.D.
- Clinical Psychologist
- Broomfield, CO
National Provider Identifier
1841570702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0004139
- Practice address
- 80 Garden Ctr
#16
Broomfield, CO 80020-7087 - Phone
- (303) 960-8095
- NPI assigned
- Aug 24, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY.0004139 | CO | Primary |
| Clinical Neuropsychologist | 103G00000X | PSY.0004139 | CO |
Addresses
Primary practice location
80 Garden Ctr
#16
Broomfield, CO 80020-7087
Mailing address
80 Garden Ctr
#16
Broomfield, CO 80020-7087
Phone (303) 960-8095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1115 Elkton Dr
Suite 300
Colorado Springs, CO 80907-3597
4514 Cole Ave
Suite 600
Dallas, TX 75205-4195
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0004139 | CO | MD | Clinical Psychologist |
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.
-
- Specialist
- Colorado Springs, CO
- NPI 1013456383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1841570702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 GARDEN CTR",
"address_2": "#16",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207087",
"telephone_number": "303-960-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 GARDEN CTR",
"address_2": "#16",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800207087",
"telephone_number": "303-960-8095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARR",
"first_name": "TODD",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-24",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0004139",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CO",
"license": "PSY.0004139",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.