Provider Demographics
NPI:1972397172
Name:MAHR-NARDELLA, CARRINGTON (PSYD)
Entity type:Individual
Prefix:DR
First Name:CARRINGTON
Middle Name:
Last Name:MAHR-NARDELLA
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 52
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-0052
Mailing Address - Country:US
Mailing Address - Phone:858-281-8618
Mailing Address - Fax:
Practice Address - Street 1:6195 MOORE RD
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-7933
Practice Address - Country:US
Practice Address - Phone:858-281-8618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.08730103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical