MICHAEL C CARROLL (NPI# 1578731303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578731303 |
| Entity Type | Individual |
| Full Name | MICHAEL C CARROLL |
| Practice Address |
6160 Mission Gorge Rd Suite 120 San Diego CA 92120-3410 |
| Mailing Address |
447 N El Molino Ave Pasadena CA 91101-1403 |
| Practice Telephone | 6192822232 |
| Practice Fax Number | 6192822992 |
| Mailing Telephone | 6265778480 |
| Mailing Fax Number | 6265778978 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2011-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY24334 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485919 | Michael John Carroll | Dietitian, Registered | 276 Randolph Ave, East Rutherford, NJ 07073-1345 | 2019-03-11 |
| 1710481544 | Michael Carroll | Specialist/Technologist | 8170 Denver Rd, Waverly, OH 45690-9535 | 2018-03-19 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1083913982 | Michael Carroll | Pharmacist | 4936 Veterans Blvd., Metairie, LA 70003 | 2011-03-18 |
| 1366569261 | Michael Thomas Carroll | Physical Therapist | 8 Oak St, Port Jervis, NY 12771-1423 | 2007-03-23 |
| 1992715999 | Michael Kevin Carroll | Physical Therapy Assistant | 9401 Fountain Medical Ct, Bonita Springs, FL 34135-4612 | 2006-08-09 |
| 1396774725 | Michael Joseph Carroll | Specialist/Technologist | 2650 W Overhill Dr, Stephenville, TX 76401-1972 | 2006-06-30 |
| 1487655932 | Michael Lindsey Carroll | Internal Medicine | 9208 Elam Rd, Ste 220, Dallas, TX 75217-4178 | 2005-08-09 |
| 1609876978 | Michael G Carroll | Internal Medicine | 1460 Bluegrass Ave, Louisville, KY 40215-1272 | 2005-07-28 |
| 1427051291 | Michael C Carroll | Podiatrist | 33 E County Line Rd, Suite B, Greenwood, IN 46143-1043 | 2005-05-24 |
| Street Address |
6160 MISSION GORGE RD SUITE 120 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336104629 | Denney R Barrus | Social Worker | 6160 Mission Gorge Rd, Suite 200, San Diego, CA 92120-3410 | 2006-04-19 |
| 1669071627 | Felicia Elizabeth Nassif | Registered Nurse | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-10-21 |
| 1962014001 | Paulina Alvarado | Peer Specialist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-08-19 |
| 1568081719 | Kristin Catherine Mcconnell | Student in an Organized Health Care Education/Training Program | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-04-08 |
| 1477184919 | Sean Arthur Smith | Licensed Vocational Nurse | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2020-02-03 |
| 1225671704 | Kendall Fitzpatrick | Case Manager/Care Coordinator | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2019-10-28 |
| 1649831660 | Paris Jackson | Case Manager/Care Coordinator | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2019-06-21 |
| 1730641408 | Shea Prophet | Marriage & Family Therapist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2019-04-02 |
| 1902361181 | Ivette Quintero | Counselor | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2019-02-01 |
| 1679048417 | Taylor Nicole Nanquil Valdivia | Marriage & Family Therapist | 6160 Mission Gorge Rd, San Diego, CA 92120-3410 | 2018-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
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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.