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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: July 19, 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.

DR. FARZANEH KHAZRAI PH.D. MFT
Marriage & Family Therapist
1151 DOVE ST, SUITE # 200
NEWPORT BEACH, CA 92660
Orange County (949) 709-1374
MS. TENA KAYE MADRID MFT
Marriage & Family Therapist
1151 DOVE ST, #113
NEWPORT BEACH, CA 92660
Orange County (714) 624-1344
MRS. DANNA L WINTHROP MFCT
Counselor (Mental Health)
1151 DOVE ST, SUITE 280
NEWPORT BEACH, CA 92660
Orange County (949) 225-9198
MS. THELMA ANN SUZUKI MSW
Social Worker (Clinical)
1151 DOVE ST, SUITE 295
NEWPORT BEACH, CA 92660
Orange County (949) 851-9613
MRS. LISE HOULIHAN LCSW
Social Worker
1151 DOVE ST, SUITE 170
NEWPORT BEACH, CA 92660
Orange County (949) 842-2940
KATHLEEN MARIE STEELE MFT
Counselor (Mental Health)
1151 DOVE ST, SUITE 113
NEWPORT BEACH, CA 92660
Orange County (949) 274-5240
MRS. SOPHIA ADRIANA SANDOVAL-MEYER LCSW
Social Worker (Clinical)
1151 DOVE ST, STE: 170
NEWPORT BEACH, CA 92660
Orange County (949) 466-4989
DR. MICHAEL SEAN TRAMELL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1151 DOVE ST, SUITE 170
NEWPORT BEACH, CA 92660
Orange County (949) 388-5042

Frequently Asked Questions

What is Autumn Carroll's NPI number?

The NPI number assigned to this healthcare provider is 1508572504, enumerated as an "individual" on January 24, 2023.

Where is the provider located?

The provider is located at 1151 DOVE ST NEWPORT BEACH, CA 92660 and the phone number is (949) 630-8290.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.