Carrie M Carretta, PHD, APN-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00156100 Issued in NJ

Practice address

414 Sitlington LN
Lakeway, TX 78738-6220

Phone

(732) 535-0414

Fax

(848) 863-6574

NPI assigned

Mar 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Princeton Psychiatric Centers, PA

  • Prescribing (Medical) Psychologist
  • Princeton, NJ
  • NPI 1902297344
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1104097914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 SITLINGTON LN",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787386220",
            "telephone_number": "732-535-0414",
            "fax_number": "848-863-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 SITLINGTON LN",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787386220",
            "telephone_number": "732-535-0414",
            "fax_number": "848-863-6574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Monmouth St # 210",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011164",
            "country_code": "US",
            "telephone_number": "732-535-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRETTA",
        "first_name": "CARRIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "18396",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00156100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Caceres Plata
• Candice Ackerman, PHD, PLLC
• Charles Thomas Cansler, LPC
• Carousel Management, Inc
• Caroline Gay Carr, PA-C
• Christopher Casey
• Christopher E Casstevens, M.D.
• Catherine Winsby Casto, DPT
• Cec Lakeway ER Physicians PLLC
• Cec Lakeway Urgent Care Physicians PLLC

• Psychiatric/Mental Health Nurse Practitioner in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.