Lia Marie Pate-Carolan, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3230 Issued in NC

Practice address

3141 John Humphries Wynd
Suite 275
Raleigh, NC 27612-5438

Phone

(919) 783-5431

Fax

(919) 783-6480

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Lia Marie Pate Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2012 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Grew, Morter & Hartye, PA

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1023037298
  NPD (past)
• Osvold Psychotherapy & Testing, Inc.

  • Counseling Psychologist
  • Raleigh, NC
  • NPI 1639259112
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266192000000",
    "number": "1942246764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 JOHN HUMPHRIES WYND",
            "address_2": "SUITE 275",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125438",
            "telephone_number": "919-783-5431",
            "fax_number": "919-783-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 JOHN HUMPHRIES WYND",
            "address_2": "SUITE 275",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125438",
            "telephone_number": "919-783-5431",
            "fax_number": "919-783-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATE-CAROLAN",
        "first_name": "LIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000896",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "046XC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIA",
            "last_name": "PATE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Passaro, RD
• Lauren Passerell, DPT
• Anthony M Pastore, LPC
• Jacek Janusz Paszkowiak, MD
• Katherine Celeste Pataki, OTR/L
• Ann Scott Pate, MD
• James Carey Pate, M.D.
• Susan Pate, M.D.
• Ajay Bankim Patel, NP
• Amish Patel, PHARMD

• Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.