DR. JEFFREY A CARMEN PH. D.
NPI 1265427512
Psychologist - Cognitive & Behavioral in Manlius, NY

Active since September 13, 2005Opted out of Medicare · through Apr 1, 2027
4016 HENNEBERRY RD, MANLIUS, NY 13104(315) 682-5272(315) 682-4716 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey A Carmen Ph. D. NPPES

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

DR. JEFFREY A CARMEN PH. D. (NPI 1265427512) is an individual cognitive & behavioral provider in Manlius, New York, licensed in New York (5908) and active in the NPI registry since September 2005. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265427512
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameDR. JEFFREY A CARMENCredential: PH. D.
Location Address4016 HENNEBERRY RDManlius, NY 13104-8532
Mailing Address4016 Henneberry RdManlius, NY 13104-8532 · (315) 682-5272 · Fax (315) 682-4716
Fax(315) 682-4716
Sole ProprietorYes
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1265427512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License Licensed in NY · 5908
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
4016 HENNEBERRY RD, Manlius, NY 13104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jeffrey A Carmen Ph. D. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2013 through April 1, 2027.

Opt-Out Effective DateApril 1, 2013
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Jeffrey Carmen's NPI number?

The NPI number for Jeffrey Carmen is 1265427512. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Jeffrey Carmen located?

Jeffrey Carmen practices at 4016 Henneberry Rd, Manlius, NY 13104. The listed phone number is (315) 682-5272.

What is Jeffrey Carmen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Jeffrey Carmen enrolled in Medicare?

No. Jeffrey Carmen has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Carmen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.