Provider Demographics
NPI:1588705594
Name:BAROCAS, CAROL (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:BAROCAS
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 1:160 E 27TH ST
Mailing Address - Street 2:SUITE 2-E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9069
Mailing Address - Country:US
Mailing Address - Phone:212-889-9053
Mailing Address - Fax:212-448-0446
Practice Address - Street 1:160 E 27TH ST
Practice Address - Street 2:SUITE 2-E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9069
Practice Address - Country:US
Practice Address - Phone:212-889-9053
Practice Address - Fax:212-448-0446
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TA0700X, 103TC2200X, 103TF0200X, 103TP0814X, 103T00000X
NYPRO12459-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Not Answered103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysis
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP575080OtherOXFORD
NYNA0941OtherBLUE CROSS BLUE SHIELD
NYP575080OtherOXFORD