Carolyn Pardee, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022473 Issued in NY

Practice address

1109 Delaware Ave
Buffalo, NY 14209-1660

Phone

(716) 427-3095

NPI assigned

May 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Speidel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1861982357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LIVINGSTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131942",
            "telephone_number": "716-352-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091660",
            "telephone_number": "716-427-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDEE",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "SPEIDEL",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Imee Natividad Paragas, DO
• Gyorgy Paragh, MD PHD
• Ganapathi Parameswaran, MD
• Akash Parashar
• Ashlyn Pardee, L.AC.
• Maryann Pardi, RD
• Shrenik P Parekh, M.B.,B.S.
• Anika Ayesha Parika, MD
• Sandhyaben Parikh, PA
• Kristin Parish

• Clinical Psychologist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.