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DAVID CARROLL PSYD, LP
NPI 1205913290
Psychologist - Clinical in Stillwater, MN

Active since November 01, 2006PECOS Enrolled
1751 TOWER DR W STE 200, STILLWATER, MN 55082(651) 439-2059(888) 675-8262 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 5, 2020, Apr 24, 2018 (2 updates tracked since 2018).

About David Carroll Psyd, Lp NPPES

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

DAVID CARROLL PSYD, LP (NPI 1205913290) is an individual clinical provider in Stillwater, Minnesota, licensed in Minnesota (2633) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1205913290
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDAVID CARROLLCredential: PSYD, LP
Location Address1751 TOWER DR W STE 200Stillwater, MN 55082-7596
Mailing Address588 101st Ave NNaples, FL 34108-3201 · (651) 439-2059 · Fax (888) 675-8262
Phone(651) 439-2059
Fax(888) 675-8262
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1205913290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · 2633
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.
1751 TOWER DR W STE 200, Stillwater, MN 55082
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Other Identifiers 1

Medicaid1205913290MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Carroll Psyd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628077534
PECOS Enrollment IDI20061204000084
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

LAMBERS B FISHER JR. MS, LMFT
Marriage & Family Therapist
1751 TOWER DR W STE 200
STILLWATER, MN 55082
Washington County (651) 439-2059
MRS. CARISSA ELIZABETH STEPAN PSYD, LP
Psychologist (Clinical)
1751 TOWER DR W STE 200
STILLWATER, MN 55082
Washington County (651) 439-2059
DR. WILLIAM L. RUSH LP
Psychologist
1751 TOWER DR W STE 200
STILLWATER, MN 55082
Washington County (651) 439-2059
TERESA S RILEY MDIV., LMFT
Marriage & Family Therapist
1751 TOWER DR W STE 200
STILLWATER, MN 55082
Washington County (651) 439-2059
LINDSAY PUENTE MA, LPCC
Counselor (Mental Health)
1751 TOWER DR W STE 200
STILLWATER, MN 55082
Washington County (651) 439-2059
LINDITH M FORTIN-CASE MSSW
Social Worker (Clinical)
1751 TOWER DR W STE 200
STILLWATER, MN 55082
Washington County (651) 439-2059
JENNIFER ANN KUNKEL SCHERTZ MED, LPC
Counselor (Mental Health)
1751 TOWER DR W STE 200
STILLWATER, MN 55082
Washington County (651) 439-2059
RUSH INC
Psychologist
1751 TOWER DR W STE 200
STILLWATER, MN 55082
Washington County (651) 439-2059

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 David Carroll's NPI number?

The NPI number for David Carroll is 1205913290. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is David Carroll located?

David Carroll practices at 1751 Tower Dr W Ste 200, Stillwater, MN 55082. The listed phone number is (651) 439-2059.

What is David Carroll's specialty?

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

Is David Carroll enrolled in Medicare?

Yes. David Carroll is registered in the Medicare PECOS enrollment system.

What insurance does David Carroll accept?

Health plans from HealthPartners list David Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Carroll was last updated on November 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.