Active NPI
Joe Carabajal
- Clinical Psychologist
- Chandler, AZ
National Provider Identifier
1902056849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1868
- Practice address
- 2340 W Ray Rd
Ste 2
Chandler, AZ 85224-3516 - Phone
- (480) 726-2600
- Fax
- (480) 726-2200
- NPI assigned
- Sep 29, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1868 | AZ | Primary |
Addresses
Primary practice location
2340 W Ray Rd
Ste 2
Chandler, AZ 85224-3516
Mailing address
2340 W Ray Rd
Ste 2
Chandler, AZ 85224-3516
Phone (480) 726-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1868 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1902056849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 W RAY RD",
"address_2": "STE 2",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852243516",
"telephone_number": "480-726-2600",
"fax_number": "480-726-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 W RAY RD",
"address_2": "STE 2",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852243516",
"telephone_number": "480-726-2600",
"fax_number": "480-726-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABAJAL",
"first_name": "JOE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "1868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.