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Deactivated NPI 1336113075 Deactivated / Inactive NPI Male Practitioner

Dr. Carroll D Roland , PhD

Psychologist • Waterloo, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Carroll Roland has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 16, 2006
NPI Deactivation Date May 21, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Carroll Roland, PhD was a registered Psychologist practicing in Waterloo, IA. Throughout an active medical career spanning 20 years, Dr. Roland provided care at the practice location at 819 OLYMPIC DR until profile deactivation on 2026-05-21.

Practice Location & Contact Primary Location

Practice Address

819 Olympic Dr

Waterloo, IA 507014815

Telephone 3192341227
Fax 3192330722
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
8 Specialists

Practicing in Waterloo, IA (272 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License IA 120

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Raymond Schamel , MD

Radiology - Diagnostic Radiology

NPI 1336126457

Doctor of Medicine (M.D.)

Dr. Richard Watson , MD

Pathology - Anatomic Pathology

NPI 1356329627

Doctor of Medicine (M.D.)

Dr. Jonathan Snow , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1376521682

Doctor of Medicine (M.D.)

Wei Yang

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1568432615
Dr. Alan Brown , MD

Pathology - Anatomic Pathology

NPI 1619947546

Doctor of Medicine (M.D.)

Dr. Jerome Anderson , DO

Pathology - Anatomic Pathology

NPI 1619955986

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 21, 2026

Record deactivated on May 21, 2026

NPI Profile Active July 26, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 26, 2007

Registered at 819 OLYMPIC DR, WATERLOO, IA 507014815 (Tel: 3192341227)

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Updated Business Mailing Address July 26, 2007

Registered at PO BOX 2818, WATERLOO, IA 507042818 (Tel: 3192333044)

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Provider Name / Credentials Updated July 26, 2007

Recorded as CARROLL ROLAND, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2007

Psychologist (License #120 in IA)

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Initial NPI Registration & Enumeration February 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336113075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2006
Last Update: July 26, 2007
Deactivation Date: May 21, 2026

Mailing Address

Po Box 2818

Waterloo, IA 507042818

Phone: 3192333044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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