Carolyn Ashley Myles Versical, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2019018304 Issued in MO

Practice address

7710 Carondelet Ave Ste 304
Clayton, MO 63105-3319

Phone

(143) 918-0303

Fax

(833) 969-0194

NPI assigned

Aug 12, 2016

Last updated

Sep 3, 2024By the provider in NPPES

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

Other names 1

• Ms. Carolyn Ashley Myles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Wellness Alliance Counseling & Psychotherapy

  • Clinical Psychologist
  • Clayton, MO
  • NPI 1467083220
  NPD Authorized official

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1144774647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 304",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "314-391-8030",
            "fax_number": "833-969-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 CARONDELET AVE STE 304",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053319",
            "telephone_number": "143-918-0303",
            "fax_number": "833-969-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSICAL",
        "first_name": "CAROLYN",
        "middle_name": "ASHLEY MYLES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009714",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2019018304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "MYLES",
            "middle_name": "ASHLEY",
            "prefix": "MS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin L Turner, MSW,ACSW,LCSW,PSY,D
• Paul M Vandivort Jr., MD
• Vanessa N. Keller, D.M.D. and Trisha M. Young, D.M.D., PC
• Trevor Vazquez, PT
• Rebecca Anne Venker, NONE
• Alexandra Vidal
• Kyria Alexis Viehman, NONE
• Laura Vintes
• Maysa E Viviano, NONE
• Robert Troy Von Nordheim

• Clinical Psychologist in Clayton, MO
• Providers in Clayton, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.