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

CARLY TULLOS
NPI 1578022802
Counselor - Mental Health in Syracuse, NY

Active since March 16, 2019PECOS Enrolled
1045 JAMES ST, SYRACUSE, NY 13203(315) 956-4387 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Dec 13, 2023, Mar 16, 2019 (3 updates tracked since 2019).

About Carly Tullos NPPES

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

CARLY TULLOS (NPI 1578022802) is an individual mental health provider in Syracuse, New York, licensed in New York (014095-01) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578022802
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARLY TULLOS
Location Address1045 JAMES STSyracuse, NY 13203-2730
Mailing Address116 Terrace DrSyracuse, NY 13219-2747 · (315) 885-8627
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 16, 2019
Last NPPES UpdateAugust 4, 20263 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
NPI 1578022802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 014095-01
1045 JAMES ST, Syracuse, NY 13203

Accepted Insurance

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

PECOS PAC ID7517466824
PECOS Enrollment IDI20251008001177
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.

Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Nurse Practitioner (Family)
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Licensed Practical Nurse
1045 JAMES ST
SYRACUSE, NY 13203
Developmental Therapist
1045 JAMES ST
SYRACUSE, NY 13203
Social Worker
1045 JAMES ST
SYRACUSE, NY 13203
Social Worker (Clinical)
1045 JAMES ST
SYRACUSE, NY 13203

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 Tullos's NPI number?

The NPI number for Carly Tullos is 1578022802. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Carly Tullos located?

Carly Tullos practices at 1045 James St, Syracuse, NY 13203. The listed phone number is (315) 956-4387.

What is Carly Tullos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carly Tullos enrolled in Medicare?

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

What insurance does Carly Tullos accept?

Health plans from Providence Health Plan list Carly Tullos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Tullos was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.