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DR. NANCY MINA FREEMAN-CARROLL PSY.D. NPI 1124247283


NPI Information

NPI: 1124247283
Provider Name: DR. NANCY MINA FREEMAN-CARROLL, PSY.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
350 CENTRAL PARK W
13E
NEW YORK, NY
ZIP 10025
Phone: (212) 665-0442
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DR. Nancy Mina Freeman-carroll, PSY.D. is a clinical psychologist in New York, NY with 30 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Nancy Mina Freeman-carroll, PSY.D. NPI is 1124247283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 CENTRAL PARK W
13E
NEW YORK, NY
ZIP 10025-547
Phone: (212) 665-0442

The NPI 1124247283 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 1/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist012527-1NEW YORKNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)012527-1NEW YORKNo
3103TA0700XPsychologistAdult Development & Aging012527-1NEW YORKNo
4103TC1900XPsychologistCounseling012527-01NEW YORKNo
5103TC2200XPsychologistClinical Child & Adolescent012527-01NEW YORKNo
6103TF0000XPsychologistFamily012527-1NEW YORKNo
7103TF0200XPsychologistForensic012527-1NEW YORKNo
8103TH0100XPsychologistHealth Service012527-1NEW YORKNo
9103TM1800XPsychologistIntellectual and Developmental Disabilities012527-1NEW YORKNo
10103TP0814XPsychologistPsychoanalysis012527-1NEW YORKNo
11103TP2701XPsychologistGroup Psychotherapy012527-1NEW YORKNo
12103TS0200XPsychologistSchool012527-1NEW YORKNo
13103TC0700XPsychologistClinical012527-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1V30261MEDICARE ID-TYPE UNSPECIFIEDNEW YORKCLINICAL PSYCHOLOGIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.