Individual provider Active NPI

Carly Decker

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1902415870
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1051175 Issued in TX
Practice address
1631 E 2ND St
Austin, TX 78702-4490
Phone
(512) 472-4357
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404902 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1051175 TX Primary
Registered Nurse 163W00000X 133977 IA

Addresses

Primary practice location

1631 E 2ND St
Austin, TX 78702-4490

Mailing address

1430 Collier St
Austin, TX 78704-2911

Other practice location 1

1317 Brown St
San Marcos, TX 78666-4011
Phone (740) 706-6104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727000759 TX Practitioner - Nurse Practitioner 6305228164 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Austin, TX 78731
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
133977IAMDRegistered Nurse
404902NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Mar 1, 2025 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Jun 7, 2022 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Psychiatric/Mental Health CurrentSince Jun 7, 2022 Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Senior Psychcare of San Antonio I, PLLC Psychiatric/Mental Health CurrentSince Feb 3, 2025 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

6222 N Lamar Blvd
Austin, TX 78752
Phone (512) 206-4062

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

489 Agnes St
Ste 114
Bastrop, TX 78602
Phone (512) 318-2570

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815

Organizations & group practices 5

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1902415870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 E 2ND ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024490",
            "telephone_number": "512-472-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 Brown St",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786664011",
            "country_code": "US",
            "telephone_number": "740-706-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECKER",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404902",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1051175",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "133977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.