Carly Brooks, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

116826-01 Issued in NY

Practice address

430 E 86TH St Apt 1F
New York, NY 10028-6435

Phone

(917) 275-7054

NPI assigned

Sep 29, 2022

Last updated

Oct 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 10, 2025 through Feb 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Intuitive You Psychology, PLLC

  • Clinical Psychologist
  • New York, NY
  • NPI 1427879642
  NPD Authorized official
• Cognitive and Behavioral Consultants

  • Psychologist
  • White Plains, NY
  • NPI 1770120685
  NPD (past)

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1295459626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 86TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286435",
            "telephone_number": "917-275-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 86TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100286435",
            "telephone_number": "917-275-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "CARLY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "116826-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooks Creative Arts Therapy PLLC
• Anne L Brooks, DSW,LCSW
• Audrey L Brooks, MD
• Camilla Jane Brooks, L.C.S.W.
• Camilo Brooks
• Chasidy Leigh Brooks, NP-C
• Cloricea Brooks
• Danielle C. Brooks
• Dwaneti Aricqua Brooks
• Glen Brooks, M.D.

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.