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MR. BRAEGEN JOSEPH CARROLL
NPI 1891120358
Counselor - Mental Health in San Leandro, CA

Active since September 03, 2013
2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2017, Feb 21, 2017 (2 updates tracked since 2017).

About Mr. Braegen Joseph Carroll NPPES

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

MR. BRAEGEN JOSEPH CARROLL (NPI 1891120358) is an individual mental health provider in San Leandro, California, licensed in California (APCC3909) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1891120358
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRAEGEN JOSEPH CARROLL
Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132
Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444
Phone(510) 317-1444
Sole ProprietorNo
Enumeration DateSeptember 3, 2013
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1891120358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · APCC3909
2275 ARLINGTON DR, San Leandro, CA 94578
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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.

ANUSHEH N WARDA
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 481-1222
RASHIDA BREMNER ONWUKA
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MEREDITH JOHNSTON
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
CLAUDIA FIGUEROA
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1437
JACQUELYN OWENS
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
EVA ADILENE REYES GARCIA
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MICHELLEE HARRIS
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MELANIE DAVENPORT
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444

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 Braegen Carroll's NPI number?

The NPI number for Braegen Carroll is 1891120358. It was assigned to this individual provider in the NPPES registry on September 3, 2013.

Where is Braegen Carroll located?

Braegen Carroll practices at 2275 Arlington Dr, San Leandro, CA 94578. The listed phone number is (510) 317-1444.

What is Braegen Carroll's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Braegen Carroll was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.