Individual provider Active NPI

Carter Alexander Pearl, PSYD

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1558099010
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5661 Issued in AZ
Practice address
2198 E Camelback Rd Ste 210
Phoenix, AZ 85016-4746
Phone
(602) 387-5313
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5661 AZ Primary

Addresses

Primary practice location

2198 E Camelback Rd Ste 210
Phoenix, AZ 85016-4746

Mailing address

2375 E Camelback Rd Ste 600
Phoenix, AZ 85016-3493
Phone (602) 387-5313

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.levitanpsychology.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20230306001243 AZ Practitioner - Clinical Psychologist 4486027844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5661AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Levitan and Associates Psychological Services PLLC Psychologist CurrentSince Feb 10, 2023 Accepting new patients

Locations

2198 E Camelback Rd
Ste 210
Phoenix, AZ 85016
Phone (480) 359-7494

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1558099010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 E CAMELBACK RD STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163493",
            "telephone_number": "602-387-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 E CAMELBACK RD STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164746",
            "telephone_number": "602-387-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "CARTER",
        "middle_name": "ALEXANDER",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "5661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.levitanpsychology.com/",
            "affiliation": "N",
            "endpointDescription": "company website",
            "address_1": "2375 E Camelback Rd Ste 600",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850163493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.