MEDICARE: CARNALL PSYCHIATRIC GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1275467201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARNALL PSYCHIATRIC GROUP

Provider Business Mailing Address
First Line	:	PO BOX 1082
Second Line	:
City	:	MORRISVILLE
State	:	PA
Zip	:	19067-9082
Country	:	US
Telephone Number	:	856-588-0306
Fax Number	:	856-588-0376

Provider Business Practice Location Address
First Line	:	501 BAY AVE STE 107
Second Line	:
City	:	SOMERS POINT
State	:	NJ
Zip	:	08244-2554
Country	:	US
Telephone Number	:	856-588-0306
Fax Number	:	856-588-0376

Authorized Official
Title or Position	:	OWNER
Name	:	AMY CARNALL
Credential	:
Telephone Number	:	856-588-0306

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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