Carol A. Carver, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

477 Issued in OR

Practice address

2380 NW Kings Blvd
Suite 102
Corvallis, OR 97330-3978

Phone

(541) 757-2066

Fax

(541) 757-9651

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1952351454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 NW KINGS BLVD",
            "address_2": "SUITE 102",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303978",
            "telephone_number": "541-757-2066",
            "fax_number": "541-757-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 NW KINGS BLVD",
            "address_2": "SUITE 102",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303978",
            "telephone_number": "541-757-2066",
            "fax_number": "541-757-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "CAROL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "477",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127329",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Carroll, BS
• Katja Viola Carsner
• David E. Carter, LCSW
• Paul Morley Carter
• Olivia Cartwright
• Casa Latinos Unidos
• Marlon Casal
• Cascade Pathways, LLC
• Karie Ann Cason
• Isaiah Mile Cassidy

• Clinical Psychologist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.