Mariah Carroll, DO
Psychiatry & Neurology, Psychiatry in San Jose, California
1275096059- Practice location
- 6620 Via Del Oro, San Jose, CA 95119-1392
- Phone
- 408-972-3000
- Fax
- —
- Last updated
- December 13, 2022
Mariah Carroll is a Psychiatry & Neurology, Psychiatry based in San Jose, CA. Mariah Carroll practices in San Jose, CA and has the professional credentials of DO. The NPI Number for Mariah Carroll is 1275096059 and holds a License No. 20A-19828 (CA). The current practice location address for Mariah Carroll is 6620 Via Del Oro, San Jose, CA 95119-1392 and can be reached out via phone at 408-972-3000.
Provider Profile Details
- NPI Number
- 1275096059
- Provider Name
- Mariah Carroll
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6620 Via Del Oro, San Jose, CA 95119-1392
- Phone Number
- 408-972-3000
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 9, 2019
- Last Update Date
- December 13, 2022
- Certification Date
- December 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6620 Via Del Oro
San Jose, CA 95119-1392 - City
- San Jose
- State
- California
- Zip
- 95119-1392
- Phone Number
- 408-972-3000
Provider Business Mailing Address Details
- Address
- 6620 Via Del Oro
San Jose, CA 95119-1452 - City
- San Jose
- State
- CA
- Zip
- 95119-1452
- Phone Number
- 408-972-3000
License Information
- License State (1)
- NJ
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 20A-19828
- License State (2)
- CA
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mariah Carroll, DO?
The NPI number of Mariah Carroll, DO is 1275096059. It was assigned on April 9, 2019 and is currently active in the NPPES registry.
What is the specialty of Mariah Carroll, DO?
Mariah Carroll, DO is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CA under license number 20A-19828.
Where does Mariah Carroll, DO practice?
The practice location is 6620 Via Del Oro, San Jose, CA 95119-1392. The office can be reached at 408-972-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275096059 directly on the NPPES registry website.