Carly Ann Chwat, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3993 Issued in TN

Practice address

11840 Kingston Pike Ste B
Knoxville, TN 37934-3861

Phone

(865) 588-3173

NPI assigned

May 30, 2024

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

Enrolled in TN

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

Credentials

Doctor of Philosophy

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.

• Healthy Mind Counseling Services, Inc

  • Clinical Social Worker
  • Knoxville, TN
  • NPI 1457409898
  Medicare reassignment NPD

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1407696149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 KINGSTON PIKE STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379343861",
            "telephone_number": "865-588-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHWAT",
        "first_name": "CARLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3993",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph T Chun, M.D.
• Church Street United Methodist Church
• Emily Margaret Church, M.A. CCC-SLP
• Lauren Elizabeth Church, ANP
• Coleman Churitch, MD
• Paula Jean Ciacelli, OT L
• Andrew Cieslik, PT
• Khristan Deichert Cimino, LCSW
• Gabrielle Cisneros, CD, RN BSN
• Nancy Blaylock Citty, LCSW

• Clinical Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.