Judith L Carl, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10304 Issued in CA

Practice address

300 Tejon Place
Suite 5
Palos Verdes Estates, CA 90274-1204

Phone

(310) 377-1198

Fax

(310) 544-4620

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1992883128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TEJON PLACE",
            "address_2": "SUITE 5",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741204",
            "telephone_number": "310-377-1198",
            "fax_number": "310-544-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TEJON PLACE",
            "address_2": "SUITE 5",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902741204",
            "telephone_number": "310-377-1198",
            "fax_number": "310-544-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARL",
        "first_name": "JUDITH",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonia Maya Maglica Butterfield
• Christine Donlon Cailler, MA, LMFT
• Erica Capellino
• Paula L. Lynn Capps, L.AC.
• Therese Marie Caraway, DC
• Lori Ann Carlson, O.T.R.
• Carol a Lindberg MD Incorporated
• Kristen Castle, LMFT
• Chain Medical
• Daniel M Chavira, MD

• All providers in Palos Verdes Estates, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.