Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053950949 Individual Practitioner Female Practitioner

Dr. Carli Nicole Pruitt , PsyD, JD

Psychologist • Cheverly, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carli Pruitt, PsyD, JD is a certified Psychologist practicing in Cheverly, MD. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Pruitt delivers high-quality medical care to the local community at 3001 HOSPITAL DR.

Dr. Pruitt is affiliated with Dimensions Healthcare Associates, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include group psychotherapy, psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3001 Hospital Dr

Cheverly, MD 207851189

Telephone 3016182000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Cheverly, MD

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs Matches City Avg
City Avg: 8.0 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Cheverly, MD (1248 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pruitt (8 Years) 8 Yrs
Cheverly Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90853 Group psychotherapy
105 50 $45.00 $25.28
90834 Psychotherapy, 45 minutes
73 35 $150.00 $95.18
90791 Psychiatric diagnostic evaluation
33 32 $250.00 $155.29

Medical Specialties & State Licenses

CMS Verified: 2021-04-15
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License PA PS018963

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

Dimensions Healthcare Associates, Inc

2900 Mercy Ln, Cheverly, MD 207851157

Phone: 3016182773

Secondary Practice Locations

3512 Quentin Rd

Brooklyn, NY 112344244

Phone: 8002753242

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Laurie Yancey , CRNP

Nurse Practitioner - Acute Care

NPI 1003235581

Certified Registered Nurse Practitioner

Keri Sank , PA-C

Physician Assistant - Surgical

NPI 1003971680

Physician Assistant (Certified)

Dr. Alex Melkuev , MD

Student in an Organized Health Care Education/Training Program

NPI 1023503737

Doctor of Medicine (M.D.)

Cynthia Vaughn , FNP

Family Medicine

NPI 1023521580

Family Nurse Practitioner

Ajibola Ibironke

Nurse Practitioner - Acute Care

NPI 1073914685
Kenechukwu Okoro

Internal Medicine

NPI 1174004857

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 15, 2021

Registered at 3001 HOSPITAL DR, CHEVERLY, MD 207851189 (Tel: 3016182000)

👤
Provider Name / Credentials Updated April 15, 2021

Recorded as CARLI PRUITT, PSY.D., J.D.

NPI Profile Active December 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2019

Registered at 3512 QUENTIN RD, BROOKLYN, NY 112344244 (Tel: 8002753242)

📍
Updated Business Mailing Address December 26, 2019

Registered at 208 DAIRY RD, BERWICK, PA 186035819 (Tel: 5705947053)

👤
Provider Name / Credentials Updated December 26, 2019

Recorded as CARLI PRUITT, PSY.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2019

Psychologist (License #PS018963 in PA)

🟢
Initial NPI Registration & Enumeration December 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053950949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2019
Last Update: April 15, 2021
Sole Proprietor: No

Mailing Address

208 Dairy Rd

Berwick, PA 186035819

Phone: 5705947053

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.