Carly Alyse Wooten, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5530 Issued in NC

Practice address

1942 E 7TH St Ste 220
Charlotte, NC 28204-2557

Phone

(704) 360-3637

NPI assigned

Aug 26, 2019

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

• Carly Seymour Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Cotswold Clinician Support Services

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1063893568
  Medicare reassignment NPD
• Integrative Wellness Solutions, PLLC

  • Psychologist
  • Mooresville, NC
  • NPI 1447760871
  Medicare reassignment NPD
• Carolinas Counseling Group of Charlotte, Inc.

  • Marriage & Family Therapist
  • Charlotte, NC
  • NPI 1558335679

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1194373951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 E 7TH ST STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042557",
            "telephone_number": "704-360-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 E 7TH ST STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042557",
            "telephone_number": "704-360-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "CARLY",
        "middle_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "SEYMOUR",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Brunner Woolworth, MD
• Gretchen Derda Woosley, L.C.S.W.
• Benjamin Matthew Wooster, MD
• Cyrena Bishop Wooster
• Roshawnda Wooten-White
• Susanna Eleanor Wooten, MSP-CCC,SLP
• Trisha Wooten, FNP
• Jordan Wopinski, PT, DPT
• Lantrianne E Worden, LMHC
• Wordplay LLC

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.