DR. KEVIN EDWARD CARROLL (NPI# 1396960670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396960670 |
| Entity Type | Individual |
| Full Name | DR. KEVIN EDWARD CARROLL |
| Credential | PH.D. |
| Practice Address |
450 Stanyan St 400e, Rehabilitation San Francisco CA 94117-1079 |
| Mailing Address |
41 Bruce Ct Pleasant Hill CA 94523-3601 |
| Practice Telephone | 4157505805 |
| Mailing Telephone | 4157505805 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 15690 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265470421 | Kevin W Carroll | Radiology | 3623 Latrobe Drive, Ste 216, Charlotte, NC 28211 | 2006-06-02 |
| 1033732581 | Kevin Andrew Scott Carroll II | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Atlanta, GA 30310 | 2020-05-19 |
| 1861950255 | Kevin William Carroll | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2019-03-05 |
| 1194235903 | Kevin Carroll | Counselor | 547 E 11th Ave, Columbus, OH 43211-2603 | 2017-10-06 |
| 1780131953 | Kevin Carroll | Physical Therapist | 2400 Chestnut Ave, Suite A, Glenview, IL 60026-8321 | 2016-09-06 |
| 1811337629 | Kevin H. Carroll | Internal Medicine | 2800 N Vancouver Ave Ste 230, Ohsu, Portland, OR 97227-1668 | 2013-06-26 |
| 1881793610 | Kevin Carroll | Counselor | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2006-09-21 |
| Street Address |
450 STANYAN ST 400E, REHABILITATION |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94117-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435762 | Marc K. Wakasa | Physical Medicine & Rehabilitation | 450 Stanyan St, # 658, San Francisco, CA 94117-1079 | 2005-05-27 |
| 1649891250 | Alexander Rosinski | Orthopaedic Surgery | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-05-05 |
| 1952922940 | Andrea Nicole Rowland | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-30 |
| 1245851237 | Ishan Devang Shah | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-30 |
| 1568081073 | Roxana Garcia | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-14 |
| 1316566060 | Elizabeth Phillips | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1336768084 | Claire Baniel | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1982223608 | Wing Ken Wong | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1508485277 | Anthony T Nguyen | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-13 |
| 1073132023 | Lewis Philip Schendowich | Student in an Organized Health Care Education/Training Program | 450 Stanyan St, San Francisco, CA 94117-1019 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231765 | Tsz Ching Isaac Chung | Counselor | 2020 Hayes Street, San Francisco, CA 94117 | 2018-07-19 |
| 1124578901 | Michelle Elizabeth Cohen | Nurse Practitioner | 350 Parnassus Ave Ste 908, San Francisco, CA 94117 | 2016-10-05 |
| 1235686346 | Amy Burtelow | Massage Therapist | 425 Divisadero Street Suite 300, San Francisco, CA 94117 | 2016-09-07 |
| 1851790430 | Elissa Stevens | Counselor | 1757 Waller Street, San Francisco, CA 94117 | 2014-08-19 |
| 1831508043 | Colmed Laboratories & Radiology | Clinical Medical Laboratory | 560 Haight Street #104, San Francisco, CA 94117 | 2014-08-13 |
| 1972917847 | Radha Yerneni | Internal Medicine | 450 Stanyan St Fl 6, San Francisco, CA 94117 | 2014-06-18 |
| 1811333594 | Julia Wong | Counselor | 425 Divisadero Street, Suite 300, San Francisco, CA 94117 | 2013-05-21 |
| 1740623529 | Cody Elizabeth Berry | Social Worker | 425 Divisadero, Suite 300, San Francisco, CA 94117 | 2013-04-11 |
| 1235471848 | Steven Ryan Vidrine | Psychiatry & Neurology | 350 Parnassus Ave Ste 201, San Francisco, CA 94117 | 2013-03-21 |
| 1699043810 | Podiatry Plan Inc | Podiatrist | 1353b Haight Street, San Francisco, CA 94117 | 2011-12-02 |
| Find all providers in zip 94117 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447800842 | Lainie Falco Posecion | Clinical Neuropsychologist | 1340 Taylor St Apt 6, San Francisco, CA 94108-1033 | 2019-09-17 |
| 1174909824 | Ronald H Roberts | Clinical Neuropsychologist | 2000 Van Ness Ave Ste 512, San Francisco, CA 94109-3017 | 2015-08-05 |
| 1912383886 | Gina Pfeifle | Clinical Neuropsychologist | 1825 Fourth Street, 6th Floor, M-6395, Ucsf Bx 4054, San Francisco, CA 94143 | 2015-08-03 |
| 1912293168 | Lisa Sporri | Clinical Neuropsychologist | 912 Cole St # 275, San Francisco, CA 94117-4316 | 2011-06-27 |
| 1376847293 | Ricardo Winkel | Clinical Neuropsychologist | 101 California St Ste 2450, San Francisco, CA 94111-6102 | 2011-01-06 |
| 1023318540 | Helen Chen | Clinical Neuropsychologist | 909 Hyde St Ste 620, San Francisco, CA 94109-4847 | 2010-11-01 |
| 1669789194 | Nicole Lara Sucre | Clinical Neuropsychologist | 1700 Pierce St Ste 103, San Francisco, CA 94115-3187 | 2010-09-03 |
| 1174842041 | Eric Michael Fine | Clinical Neuropsychologist | 533 Parnassus Ave, Uc Hall 426, Ucsf Memory and Aging Center, San Francisco, CA 94117 | 2010-05-18 |
| 1861632408 | Nataliya Belfor | Clinical Neuropsychologist | 2299 Post St Ste 307, San Francisco, CA 94115-3441 | 2009-02-23 |
| 1295971984 | Amanda Gregory | Clinical Neuropsychologist | 3644 Market St, San Francisco, CA 94131-1339 | 2008-12-30 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94117 |
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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.