IndividualActive
Carly Bosacker, PSY.D.
NPI 1720539554 · Clinical Child & Adolescent Psychologist · New York, NY
Provider details
- NPI number
- 1720539554
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 982912738 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
124 W 79th St Apt 1b
New York, NY 10024-6488
Phone: (763) 234-7825
Street-level locationGet directions
Mailing address
93 1st Pl
Brooklyn, NY 11231-3497
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2016-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.