NPIMap

Organization Active NPI

Carroll Health Group, LLC

  • Psychiatry Physician
  • Westminster, MD
National Provider Identifier
1912312893
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CARROLL HEALTH GROUP, LLC
Practice address
1 Village SQ
Westminster, MD 21157-6145
Phone
(410) 871-7110
NPI assigned
Jun 30, 2014
Last updated
Dec 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Kevin Kelbly
Title
Cfo
Phone
(410) 871-6861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

1 Village SQ
Westminster, MD 21157-6145

Mailing address

193 Stoner Ave
Suite 110
Westminster, MD 21157-5587

National Provider Directory

National Provider Directory
Tax ID family
Carroll Health Group LLC31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Locations

1 Village Sq
Westminster, MD 21157
Phone (410) 876-8077

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1912312893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 110",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE SQ",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576145",
            "telephone_number": "410-871-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "KELBLY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-871-6861"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.