Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Carroll, PSYD, LP

Individual provider Clinical Psychologist · NPI 1205913290

David Carroll, PSYD, LP is a Clinical Psychologist in Stillwater, Minnesota. Qualified in 2005, 21 years ago. Practices with Rush Inc, a 19-clinician group. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1751 Tower Dr W Ste 200
Stillwater, MN 55082-7596
Phone: (651) 439-2059
Fax: (888) 675-8262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2633 (MN)

Record details

NPI number1205913290
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020
Mailing address588 101st Ave N, Naples, FL 34108-3201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Rush Inc — 19 clinicians
Accepts Medicare assignment Not indicated

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