Carly Egan

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

024886 Issued in NY

Practice address

185 E 85TH St
New York, NY 10028-2140

Phone

(917) 512-3812

NPI assigned

Apr 6, 2022

Last updated

Mar 31, 2026By 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

Other names 1

• Carly Geller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 11, 2022 through Apr 11, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1528709094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 LEXINGTON AVE FRNT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282136",
            "telephone_number": "917-512-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282140",
            "telephone_number": "917-512-3812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 E 41st St # 5B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176217",
            "country_code": "US",
            "telephone_number": "917-512-3812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "024886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "GELLER",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Arlana Egan, PMHNP-BC
• Barbara C Egan, MD
• Bonnie S Egan, MS CCC/SLP
• Brian J. Egan, M.D.
• Caitlin C Egan, NP
• Christopher John Egan
• Daniel J Egan, MD
• Elizabeth A Egan, CRNA
• Grace Egan, BM. BS
• Jessica Egan, PH.D.

• Cognitive & Behavioral Psychologist in New York, NY
• Providers in New York, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.