Dr John Joseph Carroll Iii, PSYD - Medicare Psychologist in Sherman Oaks, CA

Dr John Joseph Carroll Iii, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sherman Oaks, California. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Pacific Blue Psychological Services and his current practice location is 15235 Burbank Blvd Ste A2, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at (858) 883-3277.

Dr John Joseph Carroll Iii is licensed to practice in California (license number PSY29750) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972002236.

Contact Information

Dr John Joseph Carroll Iii, PSYD
15235 Burbank Blvd Ste A2,
Sherman Oaks, CA 91411-3555
(858) 883-3277
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr John Joseph Carroll Iii
GenderMale
SpecialityClinical Psychologist
Experience12 Years
Location15235 Burbank Blvd Ste A2, Sherman Oaks, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Joseph Carroll Iii graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1972002236
  • Provider Enumeration Date: 02/01/2018
  • Last Update Date: 10/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991067837
  • Enrollment ID: I20180313000982

Medical Identifiers

Medical identifiers for Dr John Joseph Carroll Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972002236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY29750 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pacific Blue Psychological Services367890835710

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John Joseph Carroll Iii allows following entities to bill medicare on his behalf.
Entity NamePacific Blue Psychological Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124678719
PECOS PAC ID: 3678908357
Enrollment ID: O20200129000198

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Joseph Carroll Iii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Joseph Carroll Iii, PSYD
Po Box 1290,
Venice, CA 90294-1290

Ph: () -
Dr John Joseph Carroll Iii, PSYD
15235 Burbank Blvd Ste A2,
Sherman Oaks, CA 91411-3555

Ph: (858) 883-3277

Reviews and Comments


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