Carolina Fernandez Wiebalk, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY12842 Issued in FL

Practice address

4835 27TH St W Ste 125
Bradenton, FL 34207-1759

Phone

(941) 753-0064

NPI assigned

Jun 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carolina Fernandez Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Debra K Carter PH D and Associates PAGroup PAC ID 0547234379, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Debra K Carter PH D & Associates PA

  • Clinical Psychologist
  • Bradenton, FL
  • NPI 1356406235
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754179200000",
    "number": "1831883263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SW 3RD AVE APT 503",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331292349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 27TH ST W STE 125",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071759",
            "telephone_number": "941-753-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11937 US Highway 271",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757083154",
            "country_code": "US",
            "telephone_number": "903-877-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEBALK",
        "first_name": "CAROLINA",
        "middle_name": "FERNANDEZ",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2025-08-03",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "FERNANDEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Whitworth
• Robert C. Whorf, M.D.
• WHP Management, LLC
• Tyler Daniel Wickas, MD
• Susan McNeil Widziunas, RPH.
• Thomas J Wight, OD
• Richard William Wilcox, DDS
• Rochelle Alice Wild
• Jessica Lyn Wilde, LCSW
• Julie Wilhite, APRN, FNP-C

• Clinical Psychologist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.