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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLY CARRASCO-WYANT PHD
NPI 1437946746
Psychologist - Clinical in Charlottesville, VA

Active since April 21, 2025PECOS Enrolled
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903(434) 924-5314 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Carly Carrasco-wyant Phd NPPES

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

CARLY CARRASCO-WYANT PHD (NPI 1437946746) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810009254) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlottesville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1437946746
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCARLY CARRASCO-WYANTCredential: PHD
Location Address1300 JEFFERSON PARK AVECharlottesville, VA 22903-3363
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Phone(434) 924-5314
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 21, 2025
Last NPPES UpdateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1437946746 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 VA · 0810009254
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.
1300 JEFFERSON PARK AVE, Charlottesville, VA 22903
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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-2231

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Carrasco-wyant Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951874817
PECOS Enrollment IDI20260623002782
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 20

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

AHMED A AHMED MD
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5485
ANH-DANH THI PHAN MD
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5485
EVAN JOEL KAUFMAN O.D.
Optometrist
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5485
DR. ARTHI VENKAT M.D.
Ophthalmology
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5485
DR. CELIA FOSTER MD
Psychiatry & Neurology (Psychiatry)
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2241
YAZAN ABU ORABI AL-ADWAN MD
Transplant Surgery
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (800) 543-8814
EMILY FORCH
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2121
MARY SIMMONS RD
Dietitian, Registered
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA 22903
Charlottesville City (757) 270-9472

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 Carrasco-wyant's NPI number?

The NPI number for Carly Carrasco-wyant is 1437946746. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Carly Carrasco-wyant located?

Carly Carrasco-wyant practices at 1300 Jefferson Park Ave, Charlottesville, VA 22903. The listed phone number is (434) 924-5314.

What is Carly Carrasco-wyant's specialty?

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

Is Carly Carrasco-wyant enrolled in Medicare?

Yes. Carly Carrasco-wyant is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Carrasco-wyant was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.