Individual provider Active NPI

Carl Alan Steed, PHD

  • Clinical Psychologist
  • Jacksonville, NC
National Provider Identifier
1912023623
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3361 Issued in NC
Practice address
2501 Onslow Dr Unit 100
Jacksonville, NC 28540-5751
Phone
(910) 378-7669
Fax
(910) 939-2186
NPI assigned
Mar 22, 2007
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3361 NC Primary
Forensic Psychologist 103TF0200X PY6178 FL

Addresses

Primary practice location

2501 Onslow Dr Unit 100
Jacksonville, NC 28540-5751

Mailing address

2501 Onslow Drive
Unit 100 - PO Box 7284
Jacksonville, NC 28540-2284
Phone (910) 378-7669

Other identifiers 2

IdentifierTypeStateIssuer
047CAOtherNCBC/BS
6000954MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000578 NC Practitioner - Clinical Psychologist 5991805079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpha Neurobehavioral Clinic, PLLCGroup PAC ID 9830409804, 2 clinicians

Practice addresses (Care Compare)

2501 Onslow Dr
Unit 100
Jacksonville, NC 28540-5751
Phone (910) 378-7669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3361NCMDClinical Psychologist
PY6178FLMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Neurobehavioral Clinic PLLC Clinical CurrentSince Oct 17, 2015 Accepting new patients
Carolina Psychological and Psychiatric Health SRVS, PA PastSince Nov 1, 1999 Accepting new patients
Resolutions Counseling and Mediation Services, PLLC Past Accepting new patients

Locations

2501 Onslow Dr
Unit 100
Jacksonville, NC 28540
Phone (910) 378-7669

3805 Henderson Dr
Jacksonville, NC 28546

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1912023623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 ONSLOW DRIVE",
            "address_2": "UNIT 100 - PO BOX 7284",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285402284",
            "telephone_number": "910-378-7669",
            "fax_number": "910-939-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 ONSLOW DR UNIT 100",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405751",
            "telephone_number": "910-378-7669",
            "fax_number": "910-939-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEED",
        "first_name": "CARL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3361",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "FL",
            "license": "PY6178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "047CA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000954",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.