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TIMOTHY D CARROLL BA
NPI 1205018868
Psychologist - Clinical in Providence, RI

Active since December 05, 2007
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4779 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2021, Sep 7, 2021 (2 updates tracked since 2021).

About Timothy D Carroll Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY D CARROLL BA (NPI 1205018868) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS01978) and active in the NPI registry since December 2007. He maintains a secondary practice location in Sylva.

NPPES Registry Identity

NPI1205018868
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTIMOTHY D CARROLLCredential: BA
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (828) 586-5450
Phone(401) 444-4779
Sole ProprietorNo
Enumeration DateDecember 5, 2007
Last NPPES UpdateSeptember 27, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1205018868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in RI · PS01978
Definition

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.

Also ListedCounselorTaxonomy 101Y00000X
593 EDDY ST, Providence, RI 02903
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Secondary Practice Location 1

Location 1398 Hospital RdSylva, NC 28779-5196 · Phone (828) 586-2311 ext. 248 · Fax (828) 586-5450

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Carroll's NPI number?

The NPI number for Timothy Carroll is 1205018868. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Where is Timothy Carroll located?

Timothy Carroll practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4779.

What is Timothy Carroll's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Timothy Carroll was last updated on September 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.