JEFF CARROLL PHD
NPI 1407995319
Psychologist - Clinical in Holland, MI
About Jeff Carroll Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFF CARROLL PHD (NPI 1407995319) is an individual clinical provider in Holland, Michigan, licensed in Michigan (6301006647) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeff Carroll Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jeff Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Holland, MI 49424
- Reassigned Medicare billing, Michigan enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holland Community Hospital
Acute Care Hospitals · Holland, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLAND, MI 49423
HOLLAND, MI 49423
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 Jeff Carroll's NPI number?
The NPI number for Jeff Carroll is 1407995319. It was assigned to this individual provider in the NPPES registry on February 6, 2007.
Where is Jeff Carroll located?
Jeff Carroll practices at 854 Washington Ave Suite 330, Holland, MI 49423. The listed phone number is (616) 355-3926.
What is Jeff Carroll's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jeff Carroll enrolled in Medicare?
Yes. Jeff Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jeff Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeff Carroll reassigns Medicare benefits to West Michigan Psychological Services LLC (Holland, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeff Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeff Carroll accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Jeff 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.
Is Jeff Carroll affiliated with any hospitals?
According to CMS data, Jeff Carroll is affiliated with Holland Community Hospital.
When was this NPI record last updated?
The NPPES record for Jeff Carroll was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jeff Carroll, PHD · NPI 1407995319
Clinical provider in Holland, Michigan. Individual provider, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1407995319 (Entity type: Individual)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 6301006647 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 854 WASHINGTON AVE, SUITE 330, Holland, MI 49423-7144
- **Phone:** (616) 355-3926
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** West Michigan Psychological Services LLC (NPI 1215407044, Holland, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** August 10, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1407995319) · Data from the CMS NPPES public registry.