MICHAEL THOMAS CARPENTER MD
NPI 1790045789
Psychiatry & Neurology - Child & Adolescent Psychiatry in Saint Cloud, MN

Q: What is Michael Carpenter's NPI number?

The NPI number for Michael Carpenter is 1790045789. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Q: What is Michael Carpenter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Michael Carpenter was last updated on August 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 23, 2012PECOS EnrolledAccepts Medicare Assignment

1406 6TH AVE N, ST CLOUD HOSPITAL, SAINT CLOUD, MN 56303(320) 251-2700(320) 656-7115 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Thomas Carpenter Md NPPES

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

MICHAEL THOMAS CARPENTER MD (NPI 1790045789) is an individual child & adolescent psychiatry provider in Saint Cloud, Minnesota, licensed in Rhode Island (14305) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1790045789

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameMICHAEL THOMAS CARPENTERCredential: MD

Location Address1406 6TH AVE N, ST CLOUD HOSPITALSaint Cloud, MN 56303-1900

Mailing Address1406 6th Ave N, St Cloud HospitalSaint Cloud, MN 56303-1900 · (320) 251-2700 · Fax (320) 656-7115

Phone(320) 251-2700

Fax(320) 656-7115

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 23, 2012

Last NPPES UpdateAugust 6, 2014

✔ NPI 1790045789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in RI · 14305✔ Licensed in RI · LP02499✔ Licensed in MN · 107756

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1406 6TH AVE N, Saint Cloud, MN 56303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Thomas Carpenter Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577783646

PECOS Enrollment IDI20141013002343

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 20

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

MARY ELIZABETH AMUNDSON APRN, CNP

Pediatrics