Active NPI
Carly A Schwartz, PSY.D.
- Clinical Psychologist
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24683
- Practice address
- 1001 Partridge Dr Ste 110
Ventura, CA 93003-0714 - Phone
- (925) 282-1778
- NPI assigned
- Sep 12, 2007
- Last updated
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 24683 | CA | |
| Clinical Psychologist | 103TC0700X | 24683 | CA | Primary |
Addresses
Primary practice location
1001 Partridge Dr Ste 110
Ventura, CA 93003-0714
Mailing address
1001 Partridge Dr Ste 110
Ventura, CA 93003-0714
Phone (925) 282-1778
Other practice location 1
16800 Devonshire St
Ste 212
Granada Hills, CA 91344-7409
Phone (818) 585-2000
Other names 1
- Carly A Berdischewsky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24683 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Clinical | Current | Accepting new patients |
| A.M.P. Autism Inc | Clinical | Past | Accepting new patients |
Locations
2300 Boswell Rd
Ste 275
Chula Vista, CA 91914
Phone (585) 898-0612
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
1001 Partridge Dr
Ste 110
Ventura, CA 93003
Interoperability endpoints
- lifestancehealth.carlyschwartz@148377.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lifestance Health
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- Scottsdale, AZ
- NPI 1023125465
CA
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- Encino, CA
- NPI 1780140574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1821283979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PARTRIDGE DR STE 110",
"city": "VENTURA",
"state": "CA",
"postal_code": "930030714",
"telephone_number": "925-282-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PARTRIDGE DR STE 110",
"city": "VENTURA",
"state": "CA",
"postal_code": "930030714",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "16800 DEVONSHIRE ST",
"address_2": "STE 212",
"address_purpose": "LOCATION",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913447409",
"country_code": "US",
"telephone_number": "818-585-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "CARLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "24683",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "24683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLY",
"last_name": "BERDISCHEWSKY",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.