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

Dr. Carly Ostrom, PHD

Individual provider Adult Development & Aging Psychologist · NPI 1619356763

Dr. Carly Ostrom, PHD is an Adult Development & Aging Psychologist in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 755-2016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 9547 (FL)
Adult Development & Aging Psychologist Taxonomy 103TA0700X

Record details

NPI number1619356763
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 18, 2016
Mailing address1601 Sw Archer Rd, Vamc Psychology Department (116b), Gainesville, FL 32608-1135