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Active NPI 1831586064 Individual Practitioner Male Practitioner

Dr. Jonathan R. Carroll , PsyD

Psychologist - Clinical • Worcester, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Carroll, PsyD is a certified Psychologist - Clinical practicing in Worcester, MA. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Carroll delivers high-quality medical care to the local community at 100 CENTURY DR.

Dr. Carroll is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy, group psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Century Dr

Worcester, MA 01606

Telephone 5087625400
Fax 5087625410
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Worcester, MA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -9.6 yrs vs City Avg
City Avg: 20.6 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
163 Specialists

Practicing in Worcester, MA (3327 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carroll (11 Years) 11 Yrs
Worcester Specialty Average (20.6 Years) 20.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
249 27 $324.00 $102.49

Medical Specialties & State Licenses

CMS Verified: 2020-11-21
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MA 10503

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110121917A (MA)

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Joshua Haugh , DO

Psychiatry & Neurology - Psychiatry

NPI 1003078106

Doctor of Osteopathic Medicine (D.O.)

Dr. Kara Naylon , PsyD

Psychologist - Clinical

NPI 1003446782

Doctor of Psychology (Psy.D.)

Rachel Lambert , FNP-BC, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003697889

Family Nurse Practitioner (Board Certified), Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Ursula Makrum , PMH CNS-BC

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1033448188

PMHCNSBC

Dr. Melissa Anderson , PhD

Psychologist - Clinical

NPI 1043559099

Doctor of Philosophy (Ph.D.)

Mary Innis , RN PC

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1053366963

RNPC

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location October 26, 2018

Registered at 100 CENTURY DR, WORCESTER, MA 01606 (Tel: 5087625400)

📍
Updated Business Mailing Address October 26, 2018

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

NPI Profile Active April 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2017

Registered at 26 QUEEN STREET, GROUND FLOOR, UMMMC, AMBULATORY PSYCHIATRY SERVICE, WORCESTER, MA 01610 (Tel: 5083342537)

📍
Updated Business Mailing Address April 27, 2017

Registered at 26 QUEEN STREET, GROUND FLOOR, UMASS MEMORIAL MEDICAL CENTER, AMBULATORY PSYCHIATRY, WORCESTER, MA 01610 (Tel: 5083342537)

👤
Provider Name / Credentials Updated April 27, 2017

Recorded as JONATHAN CARROLL, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2017

Psychologist (License #10503 in MA)

NPI Profile Active April 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2015

Registered at 1493 CAMBRIDGE ST, CAMBRIDGE, MA 021391047 (Tel: 6176651183)

📍
Updated Business Mailing Address April 26, 2015

Registered at 3 WINGATE CT, MONROE TWP, NJ 088315694 (Tel: 8622667040)

👤
Provider Name / Credentials Updated April 26, 2015

Recorded as JONATHAN CARROLL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 26, 2015

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: 1831586064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2015
Last Update: November 21, 2020
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.