DR. JAMES R CARROLL PSY.D.
NPI 1558456954
Psychologist - Clinical in West Chester, OH
NPI Status: Active since October 03, 2006
Contact Information
7908 CINCINNATI DAYTON RD
SUITE SA
WEST CHESTER, OH
ZIP 45069
Phone: (513) 777-5500
Fax: (513) 777-8857
- Individual
- Male
- Psychologist
- Clinical
- Accepts Insurance
- PECOS Enrolled
About JAMES CARROLL
This page provides the complete NPI Profile along with additional information for James Carroll, a provider established in West Chester, Ohio with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1558456954 assigned on October 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 3361 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1558456954
- Provider Name
- DR. JAMES R CARROLL PSY.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7908 CINCINNATI DAYTON RD SUITE SA WEST CHESTER, OH 45069
- Location Phone
- (513) 777-5500
- Location Fax
- (513) 777-8857
- Mailing Address
- 4254 TYLERSVILLE ROAD HAMILTON, OH 45011
- Mailing Phone
- (513) 874-4889
- Mailing Fax
- (513) 777-8857
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-03-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A clinical psychologist like James Carroll assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3361
- License State
- OH
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0005803022 | OTHER (01) | OH | AETNA |
| 000000002349 | OTHER (01) | OH | ANTHEM BLUE CROSS/BLUE SH |
Medicare Participation & PECOS Enrollment Status
James Carroll is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45069 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $166.65
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $41.66
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JAMES R CARROLL PSY.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 5 | 8 | 4 | 5 | 6 | 9 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 8 | 5 | 12 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 8 + 5 + 1 + 2 + 9 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1558456954 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
DR. LUKE AARON GRANTZ D.C.
Chiropractor
7908 CINCINNATI DAYTON RD
SUITE X
WEST CHESTER, OH
ZIP 45069
DR. JOHN P JENKINS DDS
Dentist
(General Practice)
7908 CINCINNATI DAYTON RD
SUITE V
WEST CHESTER, OH
ZIP 45069
MR. WILLIAM J MALONE II
Social Worker
(Clinical)
7908 CINCINNATI DAYTON RD
SUITE SA
WEST CHESTER, OH
ZIP 45069
DR. NANNETTE REYNOLDS SHERMAN DDS
Dentist
(Pediatric Dentistry)
7908 CINCINNATI DAYTON RD
SUITE R
WEST CHESTER, OH
ZIP 45069
DR. LISA KAYE MANNIX M.D.
Psychiatry & Neurology
(Neurology)
7908 CINCINNATI DAYTON RD
SUITE J
WEST CHESTER, OH
ZIP 45069
DR. HEATHER WILSON DMD
Dentist
7908 CINCINNATI DAYTON RD
SUITE Y
WEST CHESTER, OH
ZIP 45069
DAVID M ELLISON MD
Internal Medicine
7908 CINCINNATI DAYTON RD
SUITE J
WEST CHESTER, OH
ZIP 45069
ELLISON MEDICAL LLC
Specialist
7908 CINCINNATI DAYTON RD
SUITE J
WEST CHESTER, OH
ZIP 45069
SOUL DENTAL LLC
Clinic/Center
(Dental)
7908 CINCINNATI DAYTON RD
STE Y
WEST CHESTER, OH
ZIP 45069
DAWAS DENTAL AND GI CARE, LLC
Clinic/Center
(Dental)
7908 CINCINNATI DAYTON RD
SUITE B
WEST CHESTER, OH
ZIP 45069
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558456954, enumerated as an "individual" on October 03, 2006.
The provider is located at 7908 CINCINNATI DAYTON RD SUITE SA WEST CHESTER, OH 45069 and the phone number is (513) 777-5500.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Aetna CVS Health, Oscar Health Insurance, Oscar. Please consult your insurance carrier or call the provider to verify.
