Richard E Carr, PSYD

Psychologist, Clinical in Brooklyn, NY. Individual provider (NPI-1).

NPI number1104904499

StatusActive

Last updated in NPPESAug 27, 2019

Details

NPI: 1104904499
Entity type: Individual (NPI-1)
Name: Richard E Carr
Credential: PSYD
Sex: Male
Sole proprietor: No
Enumeration date: Nov 2, 2006
Last updated: Aug 27, 2019

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer: Part B No · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	010456-1	NY	Yes
103T00000X	Psychologist	35SI00312100	NJ

Practice location

3512 Quentin Rd Ste 110
Brooklyn, NY 11234-4245

Phone 718-942-6595

Mailing address

3512 Quentin Rd Ste 110
Brooklyn, NY 11234-4245

Phone 718-942-6595

Is something wrong?

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