DR. TIMOTHY KENNELL CARROLL (NPI# 1952468787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952468787 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY KENNELL CARROLL |
| Credential | PH.D. |
| Practice Address |
4790 N Winners Cir Unit A Palm Springs CA 92264-5868 |
| Mailing Address |
4790 N Winners Cir Apt A Palm Springs CA 92264-5833 |
| Practice Telephone | 7074796048 |
| Mailing Telephone | 7074796048 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15865 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694767 | Timothy Field Carroll | Student in an Organized Health Care Education/Training Program | 3435 Dickason Ave Apt 2616, Dallas, TX 75219-4987 | 2020-03-19 |
| 1770600694 | Timothy Carroll | Physical Therapy Assistant | Rr 2 Box 534, Comanche, OK 73529-9677 | 2007-03-24 |
| 1629173323 | Timothy Carroll | Dentist | 3h Taggart Dr, Nashua, NH 03060-5592 | 2006-09-14 |
| 1235751231 | Timothy Patrick Carroll | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-05-12 |
| 1902446248 | Timothy Martin Carroll | Nurse Practitioner | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2020-01-15 |
| 1639651243 | Timothy Carroll | Physical Therapy Assistant | 7540 N 19th Ave, Phoenix, AZ 85021-7967 | 2018-08-30 |
| 1477031870 | Timothy Ross Carroll | Physician Assistant | 1055 N 500 W Ste 121, Provo, UT 84604-3305 | 2018-07-30 |
| 1215334792 | Timothy Joel Carroll | Pharmacist | 45 Earhart Dr, Suite 110, Amherst, NY 14221-7809 | 2014-11-26 |
| 1891116141 | Timothy Carroll | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2014-01-03 |
| 1285965616 | Timothy Martin Carroll | Counselor | 1127 S Patrick Dr, Suite 24, Satellite Beach, FL 32937-3939 | 2010-01-25 |
| Street Address |
4790 N WINNERS CIR UNIT A |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92264-5868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1538727466 | Sina Khanbabakhani | Dentist | 555 South Sunrise Way, Palm Springs, CA 92264 | 2019-06-05 |
| 1265971162 | Mark Jordan Agresor | Assisted Living Facility | 4425 Camino Parocela, Palm Springs, CA 92264 | 2017-02-13 |
| 1609329002 | Jeffrey Idica | Naturopath | 1775 E Palm Canyon Dr Ste 310, Palm Springs, CA 92264 | 2016-08-02 |
| 1609240605 | Brandon Hagar | Technician, Other | 3025 E Escoba Dr Apt 236, Palm Springs, CA 92264 | 2015-11-14 |
| 1861618852 | Jin Woo | Acupuncturist | 1001 S Palm Canyon Dr, Suite 105, Palm Springs, CA 92264 | 2007-04-18 |
| 1629114269 | Andrew Petras | Optometrist | 148 Eastlake Dr, Palm Springs, CA 92264 | 2007-01-30 |
| 1952453375 | Gina D Davis | Chiropractor | 4050 Airport Center Drive, Suite G, Palm Springs, CA 92264 | 2007-01-17 |
| 1548328834 | Michael R Gurk Ms Pt Apc | Physical Therapist | 1001 S Palm Canyon Drive, Ste 111, Palm Springs, CA 92264 | 2006-12-05 |
| 1750399747 | Lee Un A Professional Dental Corp | Dentist | 471 E Tahquitz Cyn Way #221, Palm Springs, CA 92264 | 2006-08-04 |
| Find all providers in zip 92264 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758695 | Robert E Parker, Phd., A Psychological Corporation | Psychologist | 471 E Tahquitz Canyon Way Ste 219, Palm Springs, CA 92262-6620 | 2019-09-05 |
| 1265951776 | William Wayne Garmon | Psychologist | 1111 Tahquitz Canyon Way/suite 121, Suite 121, Palm Springs, CA 92262-8312 | 2017-09-15 |
| 1629386180 | Helen Kienzle | Psychologist | 1080 N Indian Canyon Dr Ste 203, Palm Springs, CA 92262-4871 | 2010-09-17 |
| 1174852628 | Daniel Richard Parker | Psychologist | 490 S. Farrell Drive, Suite C207, Palm Springs, CA 92262 | 2009-12-11 |
| 1255577383 | Howard Newsom | Psychologist | 4888a S Winners Cir, Palm Springs, CA 92264-5880 | 2008-12-19 |
| 1902075583 | Patricia Anne Janesh | Psychologist | 2145 S Camino Barranca, Palm Springs, CA 92264-8903 | 2008-02-27 |
| 1699964031 | Jamye J. Jesser | Psychologist | 225 S Civic Dr Ste 2-11, Palm Springs, CA 92262-7228 | 2007-10-22 |
| 1275729840 | Jeffrey Moulton Benevedes | Psychologist | 444 E Valmonte Norte, Palm Springs, CA 92262-6035 | 2007-09-18 |
| 1487794434 | Liyona Khoury | Psychologist | 139 East Tamarisk Rd., Suite 104, Palm Springs, CA 92262 | 2007-02-07 |
| 1881733681 | Adam Wes Cash | Psychologist | 3605 E Ramon Rd, Palm Springs, CA 92264-1150 | 2007-02-06 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92264 |
Please comment or provide details below to improve the information on DR. TIMOTHY KENNELL CARROLL.
| 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.