Individual provider Active NPI

Emily Carner, PSY.D.

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1104155142
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-008912-L Issued in PA
Practice address
1601 Walnut St Ste 608
Philadelphia, PA 19102-2904
Phone
(215) 439-4664
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-008912-L PA Primary

Addresses

Primary practice location

1601 Walnut St Ste 608
Philadelphia, PA 19102-2904

Mailing address

829 E Southampton Ave
Wyndmoor, PA 19038-7932
Phone (215) 439-4664

Other practice location 1

829 E Southampton Ave
Wyndmoor, PA 19038-7932
Phone (215) 439-4664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421000170 PA Practitioner - Clinical Psychologist 9537484886 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Walnut St
Philadelphia, PA 19102-2904
Phone (215) 439-4664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS-008912-LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1104155142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 E SOUTHAMPTON AVE",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387932",
            "telephone_number": "215-439-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 608",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022904",
            "telephone_number": "215-439-4664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 E Southampton Ave",
            "address_purpose": "LOCATION",
            "city": "Wyndmoor",
            "state": "PA",
            "postal_code": "190387932",
            "country_code": "US",
            "telephone_number": "215-439-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNER",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-008912-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.