DR. CARYN WHITACRE PSY.D
NPI 1376296103
Psychologist in Los Angeles, CA

Active since February 01, 2022PECOS Enrolled
1625 SCHRADER BLVD, LOS ANGELES, CA 90028(323) 993-7500 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 24, 2022, Feb 1, 2022 (2 updates tracked since 2022).

About Dr. Caryn Whitacre Psy.d NPPES

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

DR. CARYN WHITACRE PSY.D (NPI 1376296103) is an individual psychologist in Los Angeles, California, licensed in California (PSY32271) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1376296103
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CARYN WHITACRECredential: PSY.D
Location Address1625 SCHRADER BLVDLos Angeles, CA 90028-6213
Mailing Address480 Alta RdSan Diego, CA 92179-0001 · (619) 661-6500
Sole ProprietorNo
Enumeration DateFebruary 1, 2022
Last NPPES UpdateMay 24, 20222 updates tracked since enumeration
NPPES CertifiedMay 24, 2022
NPI 1376296103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY32271
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.
1625 SCHRADER BLVD, Los Angeles, CA 90028

Secondary Practice Location 1

Location 1480 Alta RdSan Diego, CA 92179-0001 · Phone (619) 661-6500 ext. 8443

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Caryn Whitacre Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Marriage & Family Therapist
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028

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 Caryn Whitacre's NPI number?

The NPI number for Caryn Whitacre is 1376296103. It was assigned to this individual provider in the NPPES registry on February 1, 2022.

Where is Caryn Whitacre located?

Caryn Whitacre practices at 1625 Schrader Blvd, Los Angeles, CA 90028. The listed phone number is (323) 993-7500.

What is Caryn Whitacre's specialty?

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

Is Caryn Whitacre enrolled in Medicare?

Yes. Caryn Whitacre is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caryn Whitacre was last updated on May 24, 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.