DR. MATTHEW CARROLL (NPI# 1225139314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225139314 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW CARROLL |
| Credential | M.D. |
| Practice Address |
3131 Camino Del Rio N Ste 270 San Diego CA 92108-5703 |
| Practice Telephone | 6192827172 |
| Practice Fax Number | 6192827626 |
| Mailing Telephone | 6192827172 |
| Mailing Fax Number | 6192827626 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G72628 | CA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G72628 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325580 | Matthew Carroll | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Internal Medicine, Los Angeles, CA 90095-7419 | 2019-03-18 |
| 1124247341 | Matthew Bernard Carroll | Internal Medicine | 3101 Denny Ave Ste 240, Pascagoula, MS 39581-5307 | 2007-04-25 |
| 1780152025 | Matthew Carroll | Specialist/Technologist | 505 Jim Calhoun Way, Storrs, CT 06268-1728 | 2018-11-05 |
| 1710455209 | Matthew William Carroll | Behavior Technician | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 | 2018-11-02 |
| 1588169320 | Matthew Carroll | Student in an Organized Health Care Education/Training Program | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2018-03-26 |
| 1548789175 | Matthew T Carroll | Physical Therapist | 8796 Route 219, Brockway, PA 15824-6010 | 2017-09-14 |
| 1003270091 | Matthew Carroll | Obstetrics & Gynecology | 1 Baylor Plz, Bcm610, Houston, TX 77030-3411 | 2016-04-06 |
| 1346595014 | Matthew L. Carroll | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2012-07-19 |
| 1518283761 | Matthew Carroll | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2010-04-13 |
| 1205150968 | Matthew Robert Carroll | Pharmacist | 835 Solomons Island Rd N, Prince Frederick, MD 20678-3912 | 2010-03-23 |
| Street Address |
3131 CAMINO DEL RIO N STE 270 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235362237 | Eric Henry Marcus | Psychiatry & Neurology | 2648 W Canyon Ave, San Diego, CA 92123-4684 | 2009-08-25 |
| 1093918807 | Yufang Jennifer Chang | Psychiatry & Neurology | 302 Washington St # 946, San Diego, CA 92103-2110 | 2007-06-08 |
| 1558467118 | Benjamin Bensoul | Psychiatry & Neurology | 981 Manor Way, San Diego, CA 92106-2035 | 2006-09-14 |
| 1265458087 | David Naimark | Psychiatry & Neurology | 220 W Broadway, #1003, San Diego, CA 92101-3886 | 2006-07-14 |
| 1801811104 | Raphael Adam Morris | Psychiatry & Neurology | 4550 Kearny Villa Rd Ste 116, San Diego, CA 92123-1583 | 2006-07-13 |
| 1841440419 | Jason R. Kornberg, M.d., A Professional Corporation | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 | 2008-09-19 |
| 1770764326 | Alexander C Green | Psychiatry & Neurology | 12520 High Bluff Dr, Ste 375, San Diego, CA 92130 | 2007-11-23 |
| 1649496092 | Dominick Addario | Psychiatry & Neurology | 3010 1st Ave, San Diego, CA 92103-5816 | 2007-04-17 |
| 1154443786 | J. Brand Brickman | Psychiatry & Neurology | 2477 Congress St, San Diego, CA 92110-2820 | 2007-04-04 |
| 1073685764 | Jason R. Kornberg | Psychiatry & Neurology | 591 Camino De La Reina, Suite #820, San Diego, CA 92108-3102 | 2006-11-15 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.