DR. JOHN BRADLEY CARROLL


Address: 31500 W 13 Mile Rd, #111, Farmington Hills, MI 48334-2164
Phone: 2488559220

DR. JOHN BRADLEY CARROLL (NPI# 1952549891) 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) 1952549891
Entity Type Individual
Full Name DR. JOHN BRADLEY CARROLL
Credential PH.D.
Practice Address 31500 W 13 Mile Rd
#111
Farmington Hills
MI 48334-2164
Mailing Address Po Box 2689
2311 E. Stadium Blvd
Ann Arbor
MI 48106-2689
Practice Telephone 2488559220
Practice Fax Number 2488553866
Mailing Telephone 7347619835
Mailing Fax Number 2488553866
Enumeration Date 2009-01-30
Last Update Date 2009-01-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
6301007077 MI Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS OF MICHIGAN 68-0-F3-3086-0 01

Other Providers JOHN CARROLL

NPI Name Taxonomy Address Enumeration
1043853658 John Carroll Marriage & Family Therapist 400 W 23rd St Apt 5j, New York, NY 10011-2176 2019-10-26
1376852301 John Carroll Emergency Medicine 2727 W Heading Ave, West Peoria, IL 61604-4981 2010-09-24
1417151440 John Raymond Carroll Student in an Organized Health Care Education/Training Program 42 E. Laurel Rd, Udp At Umdnj-som, Dept. of Family Medicine, Rm 2100, Stratford, NJ 08084 2007-06-13
1396869210 John Francis Carroll Pediatrics 108 Canal Walk Blvd, Somerset, NJ 08873-7277 2007-03-17
1508946054 John T Carroll Podiatrist 455 Boston Post Rd Ste 8, Old Saybrook, CT 06475-1554 2006-10-17
1457379042 John Thomas Carroll Obstetrics & Gynecology 503 Thornhill Dr, Carol Stream, IL 60188-2780 2006-07-18
1952340069 John L Carroll Dentist 1020 5th St Se, Winter Haven, FL 33880-4210 2006-06-05
1063468932 John Anthony Carroll Internal Medicine 8328 E Hartford Dr, Scottsdale, AZ 85255-6520 2006-05-25
1508811860 John D Carroll Internal Medicine 10689 Hardin Valley Rd, Knoxville, TN 37932-1504 2006-05-24
1376511717 John M Carroll Internal Medicine 390 Pleasant St, Malden, MA 02148-8114 2006-03-10

Office Location

Street Address 31500 W 13 MILE RD
#111
City FARMINGTON HILLS
State MI
Zip Code 48334-2164

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902832579 First Impressions Health Care Solutions, LLC Home Health 31500 W 13 Mile Rd, Suite 210, Farmington Hills, MI 48334-2164 2006-06-24
1518438332 Tywanna R Tanner Nurse Practitioner 31500 W 13 Mile Rd, Ste 100, Farmington Hills, MI 48334-2172 2018-12-06
1548792534 Jinit Shah Nurse Practitioner 31500 W 13 Mile Rd, Suite 100, Farmington Hills, MI 48334-2164 2017-03-30
1942623111 Perfected Home Care Inc. Internal Medicine 31500 W 13 Mile Rd, 104, Farmington Hills, MI 48334-2164 2014-01-24
1902176266 Kara Foster Specialist/Technologist 31500 W 13 Mile Rd, Farmington Hills, MI 48334-2164 2012-01-04
1205917028 Irina Fiksman Psychiatry & Neurology 31500 W 13 Mile Rd, Suite 105, Farmington Hills, MI 48334-2164 2006-10-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588264535 Kiah Bradley Behavior Technician 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 2020-10-29
1417557307 Carsen D Dresbach Behavior Technician 2777 Inster Road Suite 100, Farmington Hills, MI 48334 2020-10-29
1316560303 Amy K Pruneau LLC Psychologist 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 2020-05-25
1366089732 Vian Aljony Dental Hygienist 27273 Arden Park Cir, Farmington Hills, MI 48334 2019-12-04
1699311902 Sandra Zori Pharmacist 27800 Middlebelt Rd, Farmington Hills, MI 48334 2019-11-21
1902450471 Kianna Marie Garcia Behavior Technician 27777 Inkster Rd., Farmington Hills, MI 48334 2019-08-01
1619521176 Samantha Serra Behavior Technician 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 2019-08-01
1851945398 Kristen Butler Behavior Technician 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 2019-08-01
1104489038 Katherine Kalsow Behavioral Analyst 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 2019-04-16
1083178487 Imee Raterta Physical Therapist Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 2019-01-30
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730723982 Oakland Integrated Healthcare Network Psychologist 32000 Shiawassee Rd Rm B, Farmington Hills, MI 48336-3251 2019-10-31
1588184832 Allison Vercellone Hayhoe Psychologist 31700 W 12 Mile Rd Ste 100&250, Farmington Hills, MI 48334-4424 2017-06-27
1730729930 Allison Shapiro Cardew Psychologist 26105 Orchard Lake Rd, Farmington Hills, MI 48334-4576 2020-01-15
1790183861 Allison Shapiro Cardew, LLC Psychologist 33493 W 14 Mile Rd, Suite 130, Farmington Hills, MI 48331-1587 2014-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770184251 Think To Thrive Psychological Services Pllc Psychologist 16250 Northland Dr Ste 204b, Southfield, MI 48075-5205 2020-11-03
1407490006 Oakland Integrated Healthcare Network Psychologist 3825 W Walton Blvd, Room B, Waterford, MI 48329-4270 2019-11-06
1487298204 Oakland Integrated Healthcare Network Psychologist 881 Pinecrest Dr Fl 1, Ferndale, MI 48220-2310 2019-11-05
1952945107 Oakland Integrated Healthcare Network Psychologist 2800 Waukegan St Rm 3, Auburn Hills, MI 48326-3261 2019-10-31
1558913160 Anna Snyder Psychologist 9223 Sandhill Ct, Saline, MI 48176-9440 2019-07-13
1467965418 Jeffrey William Thompson Psychologist 167 Leota Blvd, Waterford, MI 48327-3631 2017-11-13
1578074621 Joshua Dale Brewer Psychologist 206 W Michigan Ave, Oscoda, MI 48750-1413 2017-10-17
1235655614 Ramzi Hasson Psychologist 21600 Novi Rd # 800, Novi, MI 48375-5605 2017-08-17
1023413853 Cristovao Bartolo Carreira Psychologist 15450 E. Jefferson, Suite 200, Grosse Pointe, MI 48230 2014-10-22
1518379502 Steven Louis Rowe Psychologist 33464 Schoenherr Rd Ste 180, Sterling Heights, MI 48312-6392 2014-05-23
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Competitor

Search similar providers

City FARMINGTON HILLS
Zip Code 48334

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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