DR. VICTOR BRYAN CARLSON PSYD LCADC - NPI 1639223720

Q: What is Victor Carlson's NPI number?

The NPI number for Victor Carlson is 1639223720. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Victor Carlson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Q: When was this NPI record last updated?

The NPPES record for Victor Carlson was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Victor Bryan Carlson Psyd Lcadc NPPES

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

DR. VICTOR BRYAN CARLSON PSYD LCADC (NPI 1639223720) is an individual addiction (substance use disorder) provider in Newton, New Jersey, licensed in New Jersey (37LC00080400) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1639223720

Entity TypeIndividualMale

Primary Taxonomy103TA0400X

Provider Legal NameDR. VICTOR BRYAN CARLSONCredential: PSYD LCADC

Location Address288 NEWTON SPARTA RDNewton, NJ 07860

Mailing Address64 Smith RdDenville, NJ 07834 · (973) 328-4506

Phone(973) 229-4209

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJanuary 23, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1639223720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code103TA0400X

License✔ Licensed in NJ · 37LC00080400

Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedPsychologistTaxonomy 103T00000X · License 35SI00304300 (NJ)

288 NEWTON SPARTA RD, Newton, NJ 07860

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Victor Bryan Carlson Psyd Lcadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416906227

PECOS Enrollment IDI20050119000715

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WENDY ELIZABETH BEDENKO PSY.D.

Psychologist (Clinical)