Carly Ann Portincasa

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2025097591 Issued in NC

Practice address

120 Quail Run
Pinehurst, NC 28374-9096

Phone

(727) 743-8873

NPI assigned

Sep 24, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1003789488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 QUAIL RUN",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 QUAIL RUN",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749096",
            "telephone_number": "727-743-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTINCASA",
        "first_name": "CARLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2025097591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katera Polewski
• Sierra Poling
• Elizabeth Camby Polley, OTR/L
• Alexis Pope
• Meradith Porter, DO
• Jonathon Peter Portincasa, CRNA
• Possibilities Therapy PLLC
• Powerback Rehabilitation LLC
• Tenisha Pradhan, NP
• Mason Taylor Pratt, DC

• All providers in Pinehurst, NC
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.