CARLY NICOLE POYNTER
NPI 1225767890
Psychologist in Los Angeles, CA

Active since June 08, 2022PECOS Enrolled
4929 WILSHIRE BLVD, LOS ANGELES, CA 90010(323) 743-1122 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carly Nicole Poynter NPPES

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

CARLY NICOLE POYNTER (NPI 1225767890) is an individual psychologist in Los Angeles, California and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225767890
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCARLY NICOLE POYNTER
Location Address4929 WILSHIRE BLVDLos Angeles, CA 90010-3808
Mailing Address6240 W 3rd St Apt 219Los Angeles, CA 90036-7616 · (424) 644-4737
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 8, 2022
NPPES CertifiedJune 8, 2022
✔ NPI 1225767890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4929 WILSHIRE BLVD, Los Angeles, CA 90010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Nicole Poynter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143780700
PECOS Enrollment IDI20260902002099
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carly Poynter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
4929 WILSHIRE BLVD STE 1000
Los Angeles, CA 90010
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD
LOS ANGELES, CA 90010
Psychologist (Clinical)
4929 WILSHIRE BLVD, SUITE NUMBER 510
LOS ANGELES, CA 90010

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 Carly Poynter's NPI number?

The NPI number for Carly Poynter is 1225767890. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Carly Poynter located?

Carly Poynter practices at 4929 Wilshire Blvd, Los Angeles, CA 90010. The listed phone number is (323) 743-1122.

What is Carly Poynter's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carly Poynter enrolled in Medicare?

Yes. Carly Poynter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Poynter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Poynter reassigns Medicare benefits to Eating Disorder Therapy La, A Psychology Corporation (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Poynter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carly Poynter was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.