Active NPI
James Lawrence Carroll, PSYCHOLOGIST
- Clinical Psychologist
- Mt Pleasant, MI
National Provider Identifier
1922663301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301014692
- Practice address
- 201 S University Ave
Mount Pleasant, MI 48858-2527 - Phone
- (989) 779-8999
- Fax
- (989) 779-2219
- NPI assigned
- May 1, 2019
- Last updated
- May 1, 2019
- 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 | 6301014692 | MI | Primary |
Addresses
Primary practice location
201 S University Ave
Mount Pleasant, MI 48858-2527
Mailing address
201 S University Ave
Mount Pleasant, MI 48858-2527
Phone (989) 779-8999
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 |
|---|---|---|---|
| 6301014692 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1922663301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S UNIVERSITY AVE",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582527",
"telephone_number": "989-779-8999",
"fax_number": "989-779-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S UNIVERSITY AVE",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488582527",
"telephone_number": "989-779-8999",
"fax_number": "989-779-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "JAMES",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-01",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301014692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.