Carter Alexander Pearl, PsyD
Psychologist, Clinical in Phoenix, AZ. Individual provider (NPI-1).
NPI number1558099010
StatusActive
Last updated in NPPESFeb 14, 2023
Details
- NPI
- 1558099010
- Entity type
- Individual (NPI-1)
- Name
- Carter Alexander Pearl
- Credential
- PsyD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2022
- Certification date
- Feb 14, 2023
- Last updated
- Feb 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 5661 | AZ | Yes |
Practice location
2198 E Camelback Rd Ste 210Phoenix, AZ 85016-4746
Phone 602-387-5313
Mailing address
2375 E Camelback Rd Ste 600Phoenix, AZ 85016-3493
Phone 602-387-5313
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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