Active NPI
Carolyn Pearson Carter, PHD
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1689092173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP6136
- Practice address
- 921 E 86TH St Ste 210B
Indianapolis, IN 46240-1841 - Phone
- (317) 325-8068
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP6136 | MN | Primary |
Addresses
Primary practice location
921 E 86TH St Ste 210B
Indianapolis, IN 46240-1841
Mailing address
100 Amkey Way
Carmel, IN 46032-5168
Phone (317) 435-3644
Other practice location 1
111-K Kastle Hl
University of Kentucky Psychology department
Lexington, KY 40506-0044
Phone (859) 257-9640
Other practice location 2
5200 Willson Rd Ste 445
Edina, MN 55424-2303
Phone (317) 435-3644
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP6136 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1689092173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 AMKEY WAY",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325168",
"telephone_number": "317-435-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 E 86TH ST STE 210B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462401841",
"telephone_number": "317-325-8068"
}
],
"practiceLocations": [
{
"address_1": "111-K Kastle Hl",
"address_2": "University of Kentucky Psychology department",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405060044",
"country_code": "US",
"telephone_number": "859-257-9640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5200 Willson Rd Ste 445",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554242303",
"country_code": "US",
"telephone_number": "317-435-3644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "CAROLYN",
"middle_name": "PEARSON",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP6136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.