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

MS. Tara Summer Carpenter, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1619754041

MS. Tara Summer Carpenter, PMHNP is a Nurse Practitioner in Syosset, New York. Qualified in 2023, 3 years ago. Practices with Positive Change Psychiatry PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

175 Jericho Tpke
Syosset, NY 11791-4532
Phone: (631) 295-6107
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 405354 (NY)

Record details

NPI number1619754041
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedSeptember 11, 2023
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Positive Change Psychiatry Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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