Provider Demographics
NPI:1568607521
Name:JOSEPH M. CARVER, PH.D., INC.
Entity Type:Organization
Organization Name:JOSEPH M. CARVER, PH.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:740-353-1548
Mailing Address - Street 1:500 CHILLICOTHE ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-4179
Mailing Address - Country:US
Mailing Address - Phone:740-353-1548
Mailing Address - Fax:740-353-7198
Practice Address - Street 1:500 CHILLICOTHE ST
Practice Address - Street 2:SUITE 306
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-4179
Practice Address - Country:US
Practice Address - Phone:740-353-1548
Practice Address - Fax:740-353-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4333103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0812204Medicaid
OH4333OtherPSYCHOLOGIST LICENSE
OHCP06693Medicare PIN