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AUTUMN CARROLL
NPI 1508572504
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newport Beach, CA

Active since January 24, 2023
1151 DOVE ST, NEWPORT BEACH, CA 92660(949) 630-8290 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Autumn Carroll NPPES

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

AUTUMN CARROLL (NPI 1508572504) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Newport Beach, California and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1508572504
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameAUTUMN CARROLL
Location Address1151 DOVE STNewport Beach, CA 92660-2840
Mailing Address1151 Dove StNewport Beach, CA 92660-2840
Phone(949) 630-8290
Sole ProprietorYes
Enumeration DateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1508572504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1151 DOVE ST, Newport Beach, CA 92660
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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.

SARAH MICHELLE HARRIS
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290
DANIELLE C RAMIREZ
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (760) 354-8285
MARITZA JAUREGUI ROMERO
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (829) 094-9630
JANETH TORRES CARLOS RBT
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290
ELIZABETH CORREA NERY
Community/Behavioral Health
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (951) 363-0200
SAMANTHA ALONSO MARTINEZ
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290
JULISSA ABIGAIL AMAYA
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290
JOSEPH LIN
Behavior Technician
1151 DOVE ST
NEWPORT BEACH, CA 92660
Orange County (949) 630-8290

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 Autumn Carroll's NPI number?

The NPI number for Autumn Carroll is 1508572504. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Autumn Carroll located?

Autumn Carroll practices at 1151 Dove St, Newport Beach, CA 92660. The listed phone number is (949) 630-8290.

What is Autumn Carroll's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Autumn Carroll was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.