Provider Demographics
NPI:1598639437
Name:CARROLL, JAMEE S (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMEE
Middle Name:S
Last Name:CARROLL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 DIXON AVE APT 2205
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3995
Mailing Address - Country:US
Mailing Address - Phone:404-771-3516
Mailing Address - Fax:
Practice Address - Street 1:8200 DIXON AVE APT 2205
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3995
Practice Address - Country:US
Practice Address - Phone:404-771-3516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07035103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty