Active NPI
Ana M Carmona, PH.D.
- Psychologist
- Clarksville, TN
National Provider Identifier
1871064188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3338
- Practice address
- 1821 Haynes St Ste 3
Clarksville, TN 37043-4548 - Phone
- (931) 378-6612
- NPI assigned
- Dec 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3338 | TN | Primary |
Addresses
Primary practice location
1821 Haynes St Ste 3
Clarksville, TN 37043-4548
Mailing address
1821 Haynes St Ste 3
Clarksville, TN 37043-4548
Phone (931) 378-6612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200408002757 | TN | Practitioner - Psychologist Billing Independently | 1052740362 | Practice locations: Clarksville, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1871064188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 HAYNES ST STE 3",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434548",
"telephone_number": "931-378-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 HAYNES ST STE 3",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434548",
"telephone_number": "931-378-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA",
"first_name": "ANA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-12",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "3338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.