MR. PAUL J CARPENTER PHD
NPI 1710012224
Psychologist in Corning, NY

Active since February 23, 2007PECOS Enrolled
77 E 1ST ST, CORNING, NY 14830(607) 936-1771(607) 396-2648 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Paul J Carpenter Phd NPPES

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

MR. PAUL J CARPENTER PHD (NPI 1710012224) is an individual psychologist in Corning, New York, licensed in New York (8143-1) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710012224
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. PAUL J CARPENTERCredential: PHD
Location Address77 E 1ST STCorning, NY 14830-2715
Mailing Address77 E 1st StCorning, NY 14830-2715 · (607) 936-1771 · Fax (607) 936-2648
Fax(607) 396-2648
Sole ProprietorNo
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710012224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 8143-1
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
77 E 1ST ST, Corning, NY 14830

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Paul J Carpenter Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Carpenter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
27 RANDOLPH RD
Howell, NJ 07731
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group
Family Medicine
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
  • Reassigned Medicare billing, New York and Washington enrollments
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker
77 E 1ST ST
CORNING, NY 14830
Social Worker
77 E 1ST ST
CORNING, NY 14830
Social Worker (Clinical)
77 E 1ST ST
CORNING, NY 14830
Social Worker
77 E 1ST ST
CORNING, NY 14830
Social Worker (Clinical)
77 E 1ST ST
CORNING, NY 14830
Nurse Practitioner (Psychiatric/Mental Health)
77 E 1ST ST
CORNING, NY 14830
Social Worker (Clinical)
77 E 1ST ST
CORNING, NY 14830
Social Worker
77 E 1ST ST
CORNING, NY 14830

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 Paul Carpenter's NPI number?

The NPI number for Paul Carpenter is 1710012224. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Paul Carpenter located?

Paul Carpenter practices at 77 E 1st St, Corning, NY 14830. The listed phone number is (607) 936-1771.

What is Paul Carpenter's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Paul Carpenter enrolled in Medicare?

Yes. Paul Carpenter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Carpenter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Carpenter reassigns Medicare benefits to 2 organizations: Supportive Care Psychology Of Ny PC (Howell, NJ) and Doctor On Demand Professionals P C (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Carpenter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Carpenter 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.