Healthcare Provider Details

I. General information

NPI: 1457335630
Provider Name (Legal Business Name): MARICELINA CARO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARICELINA CARO KNOTTS MD

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 NEW PARKSIDE DR
CHAPEL HILL NC
27516-1160
US

IV. Provider business mailing address

301 NEW PARKSIDE DR
CHAPEL HILL NC
27516-1160
US

V. Phone/Fax

Practice location:
  • Phone: 919-800-9174
  • Fax:
Mailing address:
  • Phone: 919-800-9174
  • Fax: 919-551-7562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number200201346
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number200201346
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberME141143
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: