Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carly Carrasco-Wyant, PHD

Individual provider Clinical Psychologist · NPI 1437946746

Carly Carrasco-Wyant, PHD is a Clinical Psychologist in Charlottesville, Virginia. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1300 Jefferson Park Ave
Charlottesville, VA 22903-3363
Phone: (434) 924-5314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 924-2231

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810009254 (VA)

Record details

NPI number1437946746
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 21, 2025
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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