Active NPI
Olivia Carelli, PSY.D.
- Clinical Psychologist
- Delray Beach, FL
National Provider Identifier
1982312872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY11660
- Practice address
- 2929 SW 22ND Cir # 32B
Delray Beach, FL 33445-7890 - Phone
- (772) 341-7106
- NPI assigned
- Nov 9, 2022
- 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 | PY11660 | FL | Primary |
Addresses
Primary practice location
2929 SW 22ND Cir # 32B
Delray Beach, FL 33445-7890
Mailing address
2929 SW 22ND Cir # 32B
Delray Beach, FL 33445-7890
Phone (772) 341-7106
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1002 SE Monterey Commons Blvd
Suite 205
Stuart, FL 34996-3357
1863 NW 22ND St
Stuart, FL 34994-9269
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY11660 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olivia Carelli Psychotherapy LLC | Clinical | Current | Accepting new patients |
Locations
1002 SE Monterey Commons Blvd
Ste 205
Stuart, FL 34996
Phone (772) 208-8538
Organizations & group practices 1
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": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1982312872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 SW 22ND CIR # 32B",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334457890",
"telephone_number": "772-341-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 SW 22ND CIR # 32B",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334457890",
"telephone_number": "772-341-7106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARELLI",
"first_name": "OLIVIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY11660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.