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CARLIE PETTIT
NPI 1962343616
Nurse Practitioner - Psychiatric/Mental Health in Tonawanda, NY

Active since April 04, 2026
100 RAINTREE PKWY, TONAWANDA, NY 14150(716) 438-8630 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlie Pettit NPPES

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

CARLIE PETTIT (NPI 1962343616) is an individual psychiatric/mental health provider in Tonawanda, New York, licensed in New York (832666) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1962343616
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARLIE PETTIT
Location Address100 RAINTREE PKWYTonawanda, NY 14150-2605
Mailing Address100 Raintree PkwyTonawanda, NY 14150-2605
Phone(716) 438-8630
Sole ProprietorNo
Enumeration DateApril 4, 2026
NPPES CertifiedApril 4, 2026
✔ NPI 1962343616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 832666
100 RAINTREE PKWY, Tonawanda, NY 14150
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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 Carlie Pettit's NPI number?

The NPI number for Carlie Pettit is 1962343616. It was assigned to this individual provider in the NPPES registry on April 4, 2026.

Where is Carlie Pettit located?

Carlie Pettit practices at 100 Raintree Pkwy, Tonawanda, NY 14150. The listed phone number is (716) 438-8630.

What is Carlie Pettit's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Carlie Pettit was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.