Carly Beckett, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2020038457 Issued in MO

Practice address

611 N Fountain St
Cape Girardeau, MO 63701-7244

Phone

(573) 986-4985

NPI assigned

Sep 1, 2015

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Colorado Springs Psychological Services

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1982074969
  NPD

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1861869216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2599 TRAVELERS WAY",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552480",
            "telephone_number": "661-733-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N FOUNTAIN ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637017244",
            "telephone_number": "573-986-4985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Goodrich Blvd",
            "address_purpose": "LOCATION",
            "city": "Commerce",
            "state": "CA",
            "postal_code": "900225103",
            "country_code": "US",
            "telephone_number": "323-832-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKETT",
        "first_name": "CARLY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2020038457",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Beasley
• Sydney Leanne Beasley
• Bryan S Beck, MD
• Tammy Beck, PA
• Meghan Becker
• Klara Jane Beel, FNP-C
• Jessica M Beerup, AGPCNP
• Katina Lynn Beggs, LMSW
• Randal Begley
• Ann E Behrend, M.D.

• Clinical Psychologist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.

Verify at the official NPI Registry.