BRANDON BECK CARROLL (NPI# 1669856068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669856068 |
| Entity Type | Individual |
| Full Name | BRANDON BECK CARROLL |
| Credential | PLP |
| Practice Address |
307 N Main St Windsor MO 65360-1449 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 8884031071 |
| Practice Fax Number | 6606473617 |
| Mailing Telephone | 6608858131 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2019039855 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083194195 | Brandon Carroll | Chiropractor | 1131 Queensborough Blvd Ste 101, Mt Pleasant, SC 29464-5430 | 2018-08-17 |
| 1235682659 | Brandon Carroll | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-08-02 |
| 1710339379 | Brandon L Carroll | Social Worker | 6470 Pearl Rd, Parma Heights, OH 44130-2929 | 2016-07-07 |
| Street Address |
307 N MAIN ST |
| City | WINDSOR |
| State | MO |
| Zip Code | 65360-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881662807 | Richard A Witte | Family Medicine | 307 N Main St, Windsor, MO 65360-1449 | 2006-03-08 |
| 1881245173 | Patrick James Fletcher | Psychologist | 307 N Main St, Windsor, MO 65360-1449 | 2019-09-27 |
| 1467941344 | Anna-marie Cox | Counselor | 307 N Main St, Windsor, MO 65360-1449 | 2018-05-06 |
| 1598263303 | Anita Harrelson | Pharmacist | 307 N Main St, Windsor, MO 65360-1449 | 2018-01-26 |
| 1205346202 | Rebecca Sue Monroe | Counselor | 307 N Main St, Windsor, MO 65360-1449 | 2017-10-04 |
| 1588103493 | Tonya Tyler | Registered Nurse | 307 N Main St, Windsor, MO 65360-1449 | 2017-02-13 |
| 1114354024 | Christopher Scott Lorance | Psychologist | 307 N Main St, Windsor, MO 65360-1449 | 2013-10-09 |
| 1619300191 | Nadin R. Rizk | Psychologist | 307 N Main St, Windsor, MO 65360 | 2013-08-19 |
| 1629418165 | Vanessa Schmidt | Psychiatry & Neurology | 307 N Main St, Windsor, MO 65360-1449 | 2013-06-28 |
| 1689915076 | Jennifer Nicole Allen | Social Worker | 307 N Main St, Windsor, MO 65360-1449 | 2013-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710369608 | Fresh Start Adult Day Care of Missouri Inc | Clinic/Center | 111-113 St Main, Windsor, MO 65360 | 2015-06-26 |
| 1225067390 | Windsor Ambulance District | Ambulance | 313 North Windsor, Windsor, MO 65360 | 2006-07-01 |
| 1366420796 | Tenea M Lowman | Psychologist | 307 N. Main, Windsor, MO 65360 | 2006-01-05 |
| 1184625139 | George Edward Windsor | Family Medicine | 114 N Main St, Windsor, MO 65360 | 2005-08-02 |
| 1427167683 | Merryfield Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 200 W Benton St, Windsor, MO 65360-1102 | 2006-08-30 |
| 1205143500 | James William Merryfield | Pharmacist | 200 W Benton St, Windsor, MO 65360-1102 | 2010-09-08 |
| 1326267915 | Merryfield Pharmacy Inc. | Pharmacy | 200 W Benton St, Windsor, MO 65360-1102 | 2007-04-24 |
| 1881084713 | Kymberlee Ash | Registered Nurse | 200 W Florence, Windsor, MO 65360-1127 | 2015-01-30 |
| 1124303698 | Compass Health, Inc. | Pharmacy | 200 W Florence St, Windsor, MO 65360-1127 | 2011-10-17 |
| 1932652914 | John Grither | Pharmacist | 200 W Florence St, Windsor, MO 65360-1127 | 2016-07-26 |
| Find all providers in zip 65360 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881245173 | Patrick James Fletcher | Psychologist | 307 N Main St, Windsor, MO 65360-1449 | 2019-09-27 |
| 1114354024 | Christopher Scott Lorance | Psychologist | 307 N Main St, Windsor, MO 65360-1449 | 2013-10-09 |
| 1295885226 | Shea Suzanne Voelker | Psychologist | 307 N Main St, Windsor, MO 65360-1449 | 2007-01-11 |
| 1568488328 | Lisa D Brown | Psychologist | 307 N Main St, Windsor, MO 65360-1449 | 2006-07-14 |
| 1366468126 | Carl D Davis Jr. | Psychologist | 307 N Main St, Windsor, MO 65360-1449 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740647791 | Sarah Leech Kemp | Psychologist | 1328 Secluded Woods Dr, Camdenton, MO 65020-2556 | 2016-01-21 |
| 1013267392 | The Center for Mindfulness and Cbt, LLC | Psychologist | 10845 Olive Blvd., Suite 150, St. Louis, MO 63141 | 2012-09-14 |
| 1265717466 | Shawn Forrest Guiling | Psychologist | 615 N Broadview St, Suite 102, Cape Girardeau, MO 63701-4313 | 2011-10-19 |
| 1184933137 | Susan D Reis & Associates Inc | Psychologist | 5131 Lemay Ferry Road, St,. Louis, MO 63129 | 2010-09-24 |
| 1427365667 | Betterdays Network, Inc | Psychologist | 811 N Walnut St, Lone Jack, MO 64070-9321 | 2010-09-09 |
| 1134383193 | Ashley June Smith | Psychologist | 6155 Oak St Ste C, Kansas City, MO 64113-2266 | 2008-07-17 |
| 1720240229 | David Franklin Newman | Psychologist | 830 E High St, Jefferson City, MO 65101-4276 | 2008-06-26 |
| 1154588879 | Robyn L Holmes | Psychologist | 210 Enchanted Pkwy, Apt 304, Manchester, MO 63021-5453 | 2008-05-20 |
| 1518136589 | Shelley List | Psychologist | 7741 Gannon Ave, Saint Louis, MO 63130-2822 | 2008-02-25 |
| 1114108263 | Linda Christine Ryan | Psychologist | 13601 S Us Highway 71, Grandview, MO 64030-3659 | 2007-11-16 |
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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.