- Practice location
- 710 W 168TH St Fl 12, New York, NY 10032-3726
- Phone
- 212-305-9758
- Fax
- —
- Last updated
- December 9, 2021
Michael Carollo is a Psychologist, Clinical based in New York, NY. Michael Carollo practices in New York, NY and has the professional credentials of PSYD. The NPI Number for Michael Carollo is 1306394184 and holds a License No. 023871 (NY). The current practice location address for Michael Carollo is 710 W 168TH St Fl 12, New York, NY 10032-3726 and can be reached out via phone at 212-305-9758.
Provider Profile Details
- NPI Number
- 1306394184
- Provider Name
- Michael Carollo
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 710 W 168TH St Fl 12, New York, NY 10032-3726
- Phone Number
- 212-305-9758
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 21, 2016
- Last Update Date
- December 9, 2021
- Certification Date
- December 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 710 W 168TH St Fl 12
New York, NY 10032-3726 - City
- New York
- State
- New York
- Zip
- 10032-3726
- Phone Number
- 212-305-9758
Provider Business Mailing Address Details
- Address
- 710 W 168TH St Fl 12
New York, NY 10032-3726 - City
- New York
- State
- NY
- Zip
- 10032-3726
- Phone Number
- 212-729-0354
License Information
- License Number (1)
- 023871
- License State (1)
- NY
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 023871
- License State (2)
- NY
- Taxonomy (2)
- Psychologist, Health Service · 103TH0100X
- License Number (3)
- 023871
- License State (3)
- NY
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · 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 Dr. Michael Carollo, PSYD?
The NPI number of Dr. Michael Carollo, PSYD is 1306394184. It was assigned on September 21, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael Carollo, PSYD?
Dr. Michael Carollo, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 023871.
Where does Dr. Michael Carollo, PSYD practice?
The practice location is 710 W 168TH St Fl 12, New York, NY 10032-3726. The office can be reached at 212-305-9758 (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 1306394184 directly on the NPPES registry website.