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

DR. JUSTIN P CARTER PSY.D.
NPI 1679766695
Psychologist - Clinical in South Pasadena, CA

Q: What is Justin Carter's NPI number?

The NPI number for Justin Carter is 1679766695. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Q: What is Justin Carter's specialty?

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

Q: Is Justin Carter enrolled in Medicare?

No. Justin Carter has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Justin Carter was last updated on October 28, 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.

Active since August 22, 2007Opted out of Medicare · through Jan 4, 2028

130 MONTEREY RD UNIT 301, SOUTH PASADENA, CA 91030(626) 497-6210 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Justin P Carter Psy.d. NPPES

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

DR. JUSTIN P CARTER PSY.D. (NPI 1679766695) is an individual clinical provider in South Pasadena, California, licensed in California (28482) and active in the NPI registry since August 2007. He has opted out of Medicare through January 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679766695

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JUSTIN P CARTERCredential: PSY.D.

Location Address130 MONTEREY RD UNIT 301South Pasadena, CA 91030-5038

Mailing Address130 Monterey Rd Unit 301South Pasadena, CA 91030-5038 · (626) 497-6210

Phone(626) 497-6210

Sole ProprietorYes

Enumeration DateAugust 22, 2007

Last NPPES UpdateOctober 28, 2026

NPPES CertifiedOctober 28, 2026

✔ NPI 1679766695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CA · 28482✔ Licensed in FL · TLHT2156

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.

130 MONTEREY RD UNIT 301, South Pasadena, CA 91030

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Justin P Carter 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 4, 2018 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2018

Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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 Justin Carter's NPI number?

The NPI number for Justin Carter is 1679766695. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Justin Carter located?

Justin Carter practices at 130 Monterey Rd Unit 301, South Pasadena, CA 91030. The listed phone number is (626) 497-6210.

What is Justin Carter's specialty?

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

Is Justin Carter enrolled in Medicare?

No. Justin Carter has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Justin Carter was last updated on October 28, 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.