David Carter, Psy.D., PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY5836 Issued in FL

Legal business name

DAVID CARTER, PSY.D., PLLC

Practice address

1133 Louisiana Ave
Suite 206
Winter Park, FL 32789-2350

Phone

(407) 629-1000

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

David John Carter, PSY.D.NPI 1225118094

Title

Owner/Psychologist

Phone

(407) 629-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David John Carter, PSY.D

  • Psychologist
  • Winter Park, FL
  • NPI 1225118094
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1013105329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 LOUISIANA AVE",
            "address_2": "SUITE 206",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 LOUISIANA AVE",
            "address_2": "SUITE 206",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892350",
            "telephone_number": "407-629-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CARTER, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-629-1000",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF FLORIDA",
            "identifier": "54408",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darian Darst
• Jennifer C Dasque, ARNP, FNP
• Bella Dattani, M.D.
• Kim Daum, ITDS
• Wendell Davenport
• David J.D Woska M.D., PA
• David Medical LLC
• David R Parker PHD PLC
• Ashleigh Laura David, FNP-BC
• Erika David, PA-C, ATC

• Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.