CARLY LYNNE MOUNT (NPI# 1093054082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093054082 |
| Entity Type | Individual |
| Full Name | CARLY LYNNE MOUNT |
| Other Name | CARLY LYNNE MELCHER |
| Credential | PSY.D. |
| Practice Address |
302 Hickman Rd Ste 105 Charlottesville VA 22911-3572 |
| Mailing Address |
302 Hickman Rd. Suite 105 Charlottesville VA 22911 |
| Practice Telephone | 7733202907 |
| Mailing Telephone | (773) 320-2907 |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005487 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 47-1710406 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 N Michigan Ave, Suite 1900, Chicago, IL 606013901 | 7733212739 |
| Street Address |
302 HICKMAN RD STE 105 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-3572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033731146 | Matthew Stuart Zimmerman | Psychologist | 977 Kelsey Dr, Charlottesville, VA 22903-7855 | 2020-05-12 |
| 1891282828 | Nino Chkhaidze | Psychologist | 1410 Incarnation Dr # 205, Charlottesville, VA 22901-5708 | 2018-04-16 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1528570868 | White Oak Counseling, Inc. | Psychologist | 667 Berkmar Ct, Charlottesville, VA 22901-1406 | 2017-10-26 |
| 1013434497 | Latasha Leigh Nadasdi | Psychologist | 223 W Main St Ste F, Charlottesville, VA 22902-5071 | 2017-08-25 |
| 1962859637 | Stephanie D. Bajo | Psychologist | 1 Hospital Dr Fl 6, Charlottesville, VA 22908-0001 | 2016-05-23 |
| 1164807491 | Joanna S Yost | Psychologist | 1 Hospital Dr Fl 4, Charlottesville, VA 22908-0816 | 2015-07-28 |
| 1942640396 | Mindful Health Associates LLC | Psychologist | 408 Hidden Ridge Rd, Charlottesville, VA 22902-7243 | 2013-06-30 |
| 1588943526 | Allison Elizabeth Anderson | Psychologist | 1928 Arlington Blvd, Suite 107, Charlottesville, VA 22903-1561 | 2011-08-09 |
| 1407155880 | Robert Young | Psychologist | 901 Preston Ave Ste 201, Charlottesville, VA 22903-4491 | 2011-03-24 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on CARLY LYNNE MOUNT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.