DR. CARLY WALDER PSY.D.
NPI 1659685154
Psychologist in Northbrook, IL

Active since July 27, 2010Opted out of Medicare · through Jan 16, 2028
899 SKOKIE BLVD, SUITE 204, NORTHBROOK, IL 60062(847) 559-3240 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Carly Walder Psy.d. NPPES

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

DR. CARLY WALDER PSY.D. (NPI 1659685154) is an individual psychologist in Northbrook, Illinois, licensed in Illinois (071.009161) and active in the NPI registry since July 2010. She has opted out of Medicare through January 16, 2028.

NPPES Registry Identity

NPI1659685154
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CARLY WALDERCredential: PSY.D.
Location Address899 SKOKIE BLVD, SUITE 204Northbrook, IL 60062-4019
Mailing Address899 Skokie Blvd, Suite 204Northbrook, IL 60062-4019 · (847) 559-3240
Sole ProprietorNo
Enumeration DateJuly 27, 2010
Last NPPES UpdateFebruary 16, 2016
NPI 1659685154 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 IL · 071.009161
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.
899 SKOKIE BLVD, Northbrook, IL 60062

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 Walder Psy.d. 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 January 16, 2024 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2024
Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 13

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

Social Worker (Clinical)
899 SKOKIE BLVD
NORTHBROOK, IL 60062
Psychologist (Clinical)
899 SKOKIE BLVD, SUITE 230
NORTHBROOK, IL 60062
Social Worker (Clinical)
899 SKOKIE BLVD, SUITE 204
NORTHBROOK, IL 60062
Psychologist
899 SKOKIE BLVD, 204
NORTHBROOK, IL 60062
Clinic/Center (Mental Health (Including Community Mental Health Center))
899 SKOKIE BLVD
NORTHBROOK, IL 60062
Clinical Neuropsychologist
899 SKOKIE BLVD, SUITE 230
NORTHBROOK, IL 60062
Psychologist (Clinical)
899 SKOKIE BLVD, SUITE 304
NORTHBROOK, IL 60062
Social Worker
899 SKOKIE BLVD
NORTHBROOK, IL 60062

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 Walder's NPI number?

The NPI number for Carly Walder is 1659685154. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Carly Walder located?

Carly Walder practices at 899 Skokie Blvd Suite 204, Northbrook, IL 60062. The listed phone number is (847) 559-3240.

What is Carly Walder's specialty?

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

Is Carly Walder enrolled in Medicare?

No. Carly Walder has opted out of Medicare through January 16, 2028. 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 Walder was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.