Individual provider Active NPI

Carly Mayer, PSYD

  • Clinical Child & Adolescent Psychologist
  • New York, NY
National Provider Identifier
1497249171
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
414 E 75TH St FL 4
New York, NY 10021-3442
Phone
(646) 494-3791
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

414 E 75TH St FL 4
New York, NY 10021-3442

Mailing address

414 E 75TH St FL 4
New York, NY 10021-3442
Phone (646) 494-3791

Other practice location 1

57 W 57th St Ste 1007
New York, NY 10019-2802
Phone (212) 658-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Minds Psychology Clinical Child & Adolescent CurrentSince Jan 1, 2021 Accepting new patients

Locations

57 W 57th St
Ste 1007
New York, NY 10019
Phone 2126580110 ext. 122

414 E 75th St
Fl 4
New York, NY 10021
Phone (646) 494-0790

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1497249171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E 75TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213442",
            "telephone_number": "646-494-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 75TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213442",
            "telephone_number": "646-494-3791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 W 57th St Ste 1007",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100192802",
            "country_code": "US",
            "telephone_number": "212-658-0110",
            "fax_number": "646-219-4619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "CARLY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.