DR. CARLY BROOKS PSYD
NPI 1295459626
Psychologist - Clinical in New York, NY

Active since September 29, 2022Opted out of Medicare · through Feb 10, 2027
430 E 86TH ST APT 1F, NEW YORK, NY 10028(917) 275-7054 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carly Brooks Psyd NPPES

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

DR. CARLY BROOKS PSYD (NPI 1295459626) is an individual clinical provider in New York, New York, licensed in New York (116826-01) and active in the NPI registry since September 2022. She has opted out of Medicare through February 10, 2027.

NPPES Registry Identity

NPI1295459626
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CARLY BROOKSCredential: PSYD
Location Address430 E 86TH ST APT 1FNew York, NY 10028-6435
Mailing Address430 E 86th St Apt 1fNew York, NY 10028-6435 · (917) 275-7054
Sole ProprietorYes
Enumeration DateSeptember 29, 2022
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
NPI 1295459626 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 NY · 116826-01
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.
430 E 86TH ST APT 1F, New York, NY 10028

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. Carly Brooks Psyd 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 February 10, 2025 through February 10, 2027.

Opt-Out Effective DateFebruary 10, 2025
Opt-Out In Effect ThroughFebruary 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
430 E 86TH ST APT 1F
NEW YORK, NY 10028

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 Brooks's NPI number?

The NPI number for Carly Brooks is 1295459626. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Where is Carly Brooks located?

Carly Brooks practices at 430 E 86th St Apt 1F, New York, NY 10028. The listed phone number is (917) 275-7054.

What is Carly Brooks's specialty?

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

Is Carly Brooks enrolled in Medicare?

No. Carly Brooks has opted out of Medicare through February 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carly Brooks was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.