DR. CAROL ANN IVAN PH.D.
NPI 1588745301
Psychologist - Clinical in Newton, MA

Q: What is Carol Ivan's NPI number?

The NPI number for Carol Ivan is 1588745301. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Carol Ivan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Carol Ivan 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.

Active since October 18, 2006

1400 CENTRE ST, SUITE 105, NEWTON, MA 02459(617) 964-0900(617) 965-7979 Get Directions Write a Review

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

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About Dr. Carol Ann Ivan Ph.d. NPPES

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

DR. CAROL ANN IVAN PH.D. (NPI 1588745301) is an individual clinical provider in Newton, Massachusetts, licensed in Massachusetts (7178) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1588745301

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CAROL ANN IVANCredential: PH.D.

Location Address1400 CENTRE ST, SUITE 105Newton, MA 02459-2454

Mailing AddressPo Box 590354Newton, MA 02459-0003 · (617) 964-0900 · Fax (617) 965-7979

Phone(617) 964-0900

Fax(617) 965-7979

Sole ProprietorYes

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1588745301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 7178

Definition

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.

1400 CENTRE ST, Newton, MA 02459

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Other Identifiers 3

Medicare ID-Type UnspecifiedW50200MA

Medicaid1850377MA

OtherW05628MA · Blue Cross Blue Shield

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. SYLVIA Y KANEKO M.S.W., PH.D.

Social Worker (Clinical)

1400 CENTRE ST, SUITE 105
NEWTON CENTRE, MA 02459

Middlesex County (617) 527-5252

MRS. AMY PORTNOY R.D.H.

Dental Hygienist

1400 CENTRE ST, SUITE 201
NEWTON, MA 02459

Middlesex County (617) 965-2440

ROWE PHYSICAL THERAPY, INC.

Clinic/Center (Physical Therapy)

1400 CENTRE ST, SUITE 104
NEWTON, MA 02459

Middlesex County (617) 244-4462

OFELIA MONIQUE MABRY DMD

Dentist (General Practice)

1400 CENTRE ST, SUITE 106
NEWTON CENTRE, MA 02459

Middlesex County (617) 795-7211

REBECCA COLACCHIO THOMPSON MSW, LICSW

Social Worker (Clinical)

1400 CENTRE ST, SUITE 105
NEWTON CENTRE, MA 02459

Middlesex County (617) 301-8369

MARIE-CHRISTINE NADON

Physician Assistant

1400 CENTRE ST
NEWTON, MA 02459

Middlesex County (617) 765-0228

DR. PAUL WOOJONG BAEK D.M.D.

Dentist (General Practice)

1400 CENTRE ST, SUITE 106
NEWTON CENTRE, MA 02459

Middlesex County (617) 630-2828

AIMEE LATAILLE LICSW

Social Worker (Clinical)

1400 CENTRE ST, SUITE 203
NEWTON CENTRE, MA 02459

Middlesex County (617) 244-9929

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 Carol Ivan's NPI number?

The NPI number for Carol Ivan is 1588745301. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Carol Ivan located?

Carol Ivan practices at 1400 Centre St Suite 105, Newton, MA 02459. The listed phone number is (617) 964-0900.

What is Carol Ivan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Carol Ivan 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.