Provider Demographics
NPI:1821209594
Name:CARNEY, ADRIA MARLENE (MD)
Entity Type:Individual
Prefix:
First Name:ADRIA
Middle Name:MARLENE
Last Name:CARNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4782 TONINO DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95136-2669
Mailing Address - Country:US
Mailing Address - Phone:408-471-7248
Mailing Address - Fax:
Practice Address - Street 1:1245 S WINCHESTER BLVD BLDG STE 312
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-3908
Practice Address - Country:US
Practice Address - Phone:415-296-5290
Practice Address - Fax:415-296-5299
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1343212084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry