Lance Thomas Carr, MA, PPS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

210070182 Issued in CA

Practice address

4357 Thornton Ave
Fremont, CA 94536-4827

Phone

(510) 793-9090

NPI assigned

Dec 23, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1881998409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41262 ROBERTS AVE APT 73",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384929",
            "telephone_number": "510-579-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4357 THORNTON AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364827",
            "telephone_number": "510-793-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Llewellyn Ave",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950081940",
            "country_code": "US",
            "telephone_number": "408-628-5504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "LANCE",
        "middle_name": "THOMAS",
        "credential": "MA, PPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-23",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "210070182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Michael Carpenter, CCP
• Francisco Carpio, M.D.
• Maricris Daag Carpio
• Haley Carr
• Kathleen M Carr, LCSW
• Abigail Rose Carreker
• Ella Carrell
• Marie Claudia Carrillo-Bertolucci, PTA
• Kyrene Alexandra Carrillo, BT
• Maurice Carson

• School Psychologist in Fremont, CA
• Providers in Fremont, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.