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DR. MARYBETH CARTER
NPI 1174754378
Psychologist - Clinical in Los Angeles, CA

Active since August 05, 2009Opted out of Medicare · through Apr 1, 2027
1736 WESTWOOD BLVD, SUITE 209, LOS ANGELES, CA 90024(760) 668-6983 Get Directions Write a Review

NPPES record last updated: February 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marybeth Carter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARYBETH CARTER (NPI 1174754378) is an individual clinical provider in Los Angeles, California, licensed in California (27005) and active in the NPI registry since August 2009. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174754378
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARYBETH CARTER
Location Address1736 WESTWOOD BLVD, SUITE 209Los Angeles, CA 90024-5635
Mailing Address1736 Westwood Blvd, Suite 209Los Angeles, CA 90024-5635 · (760) 668-6983
Phone(760) 668-6983
Sole ProprietorYes
Enumeration DateAugust 5, 2009
Last NPPES UpdateFebruary 15, 2015
✔ NPI 1174754378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 27005
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1736 WESTWOOD BLVD, Los Angeles, CA 90024
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Marybeth Carter has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DORIS L JOHNSON LAC
Acupuncturist
1736 WESTWOOD BLVD, SUITE 202
LOS ANGELES, CA 90024
Los Angeles County (310) 475-8018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marybeth Carter's NPI number?

The NPI number for Marybeth Carter is 1174754378. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Marybeth Carter located?

Marybeth Carter practices at 1736 Westwood Blvd Suite 209, Los Angeles, CA 90024. The listed phone number is (760) 668-6983.

What is Marybeth Carter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Marybeth Carter enrolled in Medicare?

No. Marybeth Carter has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marybeth Carter was last updated on February 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.