Individual provider Active NPI

Carmen G Armengol, PH.D.

  • Clinical Neuropsychologist
  • Providence, RI
National Provider Identifier
1992339501
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
472 Issued in RI
Practice address
58 Rochambeau Ave
Providence, RI 02906-1908
Phone
(617) 524-0606
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 472 RI Primary

Addresses

Primary practice location

58 Rochambeau Ave
Providence, RI 02906-1908

Mailing address

280 Chestnut Ave
Jamaica Plain, MA 02130-4414
Phone (617) 522-7061

Other practice location 1

58 Rochambeau Ave
Providence, RI 02906-1908
Phone (617) 524-0606

Other practice location 2

58 Rochambeau Ave
Providence, RI 02906-1908
Phone (617) 524-0606

Other identifiers 1

IdentifierTypeStateIssuer
S81364143OtherMADRIVER'S LICENSE

Other names 1

  • Prof. Carmen G Armengol de la Miyar Professional name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
472RIMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1992339501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT AVE",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304414",
            "telephone_number": "617-522-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 ROCHAMBEAU AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061908",
            "telephone_number": "617-524-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Rochambeau Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029061908",
            "country_code": "US",
            "telephone_number": "617-524-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Rochambeau Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029061908",
            "country_code": "US",
            "telephone_number": "617-524-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMENGOL",
        "first_name": "CARMEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "S81364143",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "ARMENGOL DE LA MIYAR",
            "middle_name": "G",
            "prefix": "PROF.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.