PROF. KATHLEEN M CARROLL


Address: 950 Campbell Ave, Mirecc 151d, West Haven, CT 06516-2770
Phone: 2039373486

PROF. KATHLEEN M CARROLL (NPI# 1518065424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518065424
Entity Type Individual
Full Name PROF. KATHLEEN M CARROLL
Credential PHD
Practice Address 950 Campbell Ave
Mirecc 151d
West Haven
CT 06516-2770
Practice Telephone 2039373486
Mailing Telephone 2039373486
Enumeration Date 2006-09-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
001695 CT Behavioral Health & Social Service Providers

Other Providers KATHLEEN CARROLL

NPI Name Taxonomy Address Enumeration
1710240585 Kathleen A Carroll Speech-Language Pathologist 17100 E Shea Blvd Ste 600, Fountain Hills, AZ 85268 2012-06-18
1285959437 Kathleen Germaine Carroll Pharmacist 158-44 Cross Bay Blvd, Howard Beach, NY 11414 2010-03-31
1093918609 Kathleen Anne Carroll Obstetrics & Gynecology 850 Clairton Blvd Ste 3100, Pittsburgh, PA 15236-4585 2007-06-10
1376674010 Kathleen Kelly Carroll Counselor 805 Westmont Dr, Fayetteville, NC 28305-4555 2007-03-07
1851436059 Kathleen Mary Carroll Nurse Practitioner 5 Industrial Drive Rogers Outpatient Center, Suite 100, Mashpee, MA 02649 2007-02-21
1104367283 Kathleen Elizabeth Carroll Nurse Practitioner 17 Centre Plaza Dr, Jackson, TN 38305-2862 2017-03-09
1245624675 Kathleen Carroll Student in an Organized Health Care Education/Training Program 11960 Westline Industrial Dr, 201, Saint Louis, MO 63146-3209 2015-03-24
1194076380 Kathleen Louise Carroll Dentist 9 Century Hill Dr, Latham, NY 12110-2113 2012-09-27
1821302514 Kathleen Mary Carroll Social Worker 4660 Palm Ave, San Diego, CA 92154 2010-08-05
1578625588 Kathleen J. Carroll Social Worker 800 Zorn Ave, Louisville, KY 40206-1433 2006-12-15

Office Location

Street Address 950 CAMPBELL AVE
MIRECC 151D
City WEST HAVEN
State CT
Zip Code 06516-2770

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023011434 Jacqueline Marie Martin Nurse Anesthetist, Certified Registered 950 Campbell Ave, West Haven, CT 06516-2770 2005-05-31
1134728413 Matthew Thomas Walsh Physical Therapist 950 Campbell Ave, West Haven, CT 06516-2770 2020-10-19
1184221467 Victoria Leigh Dasilva Pharmacist 950 Campbell Ave, West Haven, CT 06516-2770 2020-10-08
1467069716 Steven Lemieux Pharmacist 950 Campbell Ave, West Haven, CT 06516-2770 2020-09-29
1629685581 Ramandeep Kaur Optometrist 950 Campbell Ave, West Haven, CT 06516-2770 2020-09-25
1972110864 Lorena Rivera Mitchell Social Worker 950 Campbell Ave, West Haven, CT 06516-2770 2020-09-25
1174139851 Angela Haeny Psychologist 950 Campbell Ave, West Haven, CT 06516-2770 2020-09-18
1225644966 Neil Bidon Registered Nurse 950 Campbell Ave, West Haven, CT 06516-2770 2020-09-18
1952916181 Courtney Burgazli Pharmacist 950 Campbell Ave, West Haven, CT 06516-2770 2020-09-14
1316552862 Amanda Victoria Loomis Pharmacist 950 Campbell Ave, West Haven, CT 06516-2770 2020-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956421 Thomas Lorbie Thomson IIi Nurse Practitioner Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 2020-06-12
1659911238 Claudine Pettigrew Social Worker 114-52 Boston Post Road, West Haven, CT 06516 2020-01-10
1811531544 Medical Center Pharmacy and Home Care Center, Inc. Pharmacy 600 Derby Avenue, West Haven, CT 06516 2019-11-06
1821649203 Michaela Lachance Physical Therapist 95 Campbell Ave, West Haven, CT 06516 2019-09-26
1295215739 Lisa Marie Litrenta Social Worker 114-152 Boston Post Rd, #2, West Haven, CT 06516 2018-08-15
1386121895 Theresa Boateng Homemaker 150 Shingle Hill Rd, West Haven, CT 06516 2018-07-26
1902383458 Bianca Gondek Social Worker 114-152 Boston Post Rd #2, West Haven, CT 06516 2018-07-26
1790279172 Blanca L. Paccha Nurse Practitioner 950 Campbell Ave Bldg 2b, West Haven, CT 06516 2018-06-19
1184133597 Lotus Counseling Services LLC Counselor 101 White St, West Haven, CT 06516 2017-09-28
1053867283 Alesia Wellington Social Worker 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 2016-08-28
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Taxonomy Information

Taxonomy Code 103TA0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447362140 Verne Michael Gill Psychologist 950 Campbell Ave, West Haven, CT 06516-2770 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124417167 Mclean Wellness Group, LLC Psychologist 117 E. Center St., Manchester, CT 06040 2015-01-14
1821124157 Dana Anne Cavallo Psychologist 30 Spruce St, Stratford, CT 06615-7903 2007-02-23
1194875294 Mary-margaret Ellen Freier Psychologist 4 Van Cedarfield Rd., Colchester, CT 06415 2007-01-11
1508409731 Clufoir Inc Psychologist 1783 Meriden Waterbury Tpke, Suite K 11, Southington, CT 06489-0268 2019-10-21
1851859102 Krysten Bold Psychologist Department of Psychiatry, 34 Park Street Cmhc - Sac, New Haven, CT 06519 2019-03-06
1851767933 Waterstone Counseling Center, LLC Psychologist 17 Wall St, Madison, CT 06443-3122 2015-08-12
1386072270 Marc Bono Psychologist 765 E Main St, Branford, CT 06405-2922 2013-10-31
1801151105 Liberty Healthcare LLC Psychologist 18 Hart St, New Britain, CT 06052-1702 2012-07-12
1508138652 Richard Austin Jr. Psychologist 500 Albany Ave, Hartford, CT 06120-2508 2012-02-06
1750650255 Midwestern Connecticut Council On Alcoholism, Inc Psychologist 62 Bridge St, New Milford, CT 06776-3547 2011-12-29
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Competitor

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City WEST HAVEN
Zip Code 06516

Improve Information

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Dataset Information

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.

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