DR. CARLY OSTROM PH.D.
NPI 1619356763
Psychologist - Clinical in Lake City, FL

Active since May 21, 2015
619 S MARION AVE, LAKE CITY, FL 32025(386) 755-2016 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Carly Ostrom Ph.d. NPPES

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

DR. CARLY OSTROM PH.D. (NPI 1619356763) is an individual clinical provider in Lake City, Florida, licensed in Florida (9547) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1619356763
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CARLY OSTROMCredential: PH.D.
Location Address619 S MARION AVELake City, FL 32025-5808
Mailing Address1601 Sw Archer Rd, Vamc Psychology Department (116b)Gainesville, FL 32608-1135 · (386) 755-3016
Sole ProprietorNo
Enumeration DateMay 21, 2015
Last NPPES UpdateMay 18, 2016
NPI 1619356763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · 9547
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.

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X
619 S MARION AVE, Lake City, FL 32025

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.

Registered Nurse (Continuing Education/Staff Development)
619 S MARION AVE
LAKE CITY, FL 32025
Pharmacist
619 S MARION AVE
LAKE CITY, FL 32025
Respiratory Therapist, Registered
619 S MARION AVE
LAKE CITY, FL 32025
Pharmacist
619 S MARION AVE
LAKE CITY, FL 32025
Internal Medicine
619 S MARION AVE
LAKE CITY, FL 32025
Kinesiotherapist
619 S MARION AVE
LAKE CITY, FL 32025
Kinesiotherapist
619 S MARION AVE
LAKE CITY, FL 32025
Dental Hygienist
619 S MARION AVE
LAKE CITY, FL 32025

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 Ostrom's NPI number?

The NPI number for Carly Ostrom is 1619356763. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Carly Ostrom located?

Carly Ostrom practices at 619 S Marion Ave, Lake City, FL 32025. The listed phone number is (386) 755-2016.

What is Carly Ostrom's specialty?

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

When was this NPI record last updated?

The NPPES record for Carly Ostrom was last updated on May 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.