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Deactivated NPI 1679578561 Deactivated / Inactive NPI Female Practitioner

Dr. Carol L Patrick , PhD

Psychologist - Clinical • Lima, OH

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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. Carol Patrick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2005
NPI Deactivation Date March 18, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Carol Patrick, PhD was a registered Psychologist - Clinical practicing in Lima, OH. Throughout an active medical career spanning 1 years, Dr. Patrick provided care at the practice location at 1037 W MARKET ST until profile deactivation on 2006-03-18.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1037 W Market St

Lima, OH 458052729

Telephone 4192225077
Fax 4192285343
Associated Practice Facility / Clinic
🏢 Spauldng Addiction Services Facility NPI 1639894041

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Lima, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Lima, OH (1691 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
94 11 $160.00 $84.46

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OH 3947

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
0691121 (OH)

Practice Associates & Co-Workers

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

5 Associated Practitioners
Donald Brubaker , LISW

Social Worker - Clinical

NPI 1508929415

Licensed Independent Social Worker

Julia Houk

Occupational Therapist

NPI 1649991910
Dr. Kamran Gitiban , PhD, LPCC

Counselor - Mental Health

NPI 1841271004

Doctor of Philosophy (Ph.D.), Licensed Professional Clinical Counselor

NPI 1871284059

Doctor of Psychology (Psy.D.)

Dr. Jennifer Hughes , PhD, LISW

Social Worker - Clinical

NPI 1932262300

Doctor of Philosophy (Ph.D.), Licensed Independent Social Worker

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 08, 2007

Registered at 1037 W MARKET ST, LIMA, OH 458052729 (Tel: 4192225077)

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Updated Business Mailing Address July 08, 2007

Registered at 1037 W MARKET ST, LIMA, OH 458052729 (Tel: 4192225077)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CAROL PATRICK, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #3947 in OH)

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NPI Profile Reactivated March 27, 2006

Record officially reactivated for active practice on March 27, 2006

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NPI Profile Deactivated March 18, 2006

Record deactivated on March 18, 2006

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Initial NPI Registration & Enumeration June 16, 2005

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: 1679578561
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: July 08, 2007
Deactivation Date: March 18, 2006
Sole Proprietor: Yes

Mailing Address

1037 W Market St

Lima, OH 458052729

Phone: 4192225077

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.