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General NPI Number Information
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NPI Number | 1720194335
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Entity Type | Organization
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Legal Business Name | CARMEL PSYCHOLOGICAL HEALTH, PC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 667 STONELEIGH AVE STE 202
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City | CARMEL
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State | NY
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Zip | 10512-2455
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Country | US
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Telephone | 845-279-5908
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Fax | 845-622-5055
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Provider Business Mailing Address
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Address Line | 4800 N SCOTTSDALE RD STE 2500
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7630
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Country | US
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Telephone | 480-524-0990
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Fax | 845-622-5055
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Authorized Official
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Title or Position | CHIEF LEGAL OFFICER
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Name | RYAN PARDO
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Credential |
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Telephone | 425-279-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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