RICARDO CARRILLO PHD
NPI 1225287568
Psychologist in Berkeley, CA
About Ricardo Carrillo Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICARDO CARRILLO PHD (NPI 1225287568) is an individual psychologist in Berkeley, California, licensed in California (PSY11696) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1983).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ricardo Carrillo Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ricardo Carrillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gardena, CA 90248
- Reassigned Medicare billing, California enrollment
- 375 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ricardo Carrillo's NPI number?
The NPI number for Ricardo Carrillo is 1225287568. It was assigned to this individual provider in the NPPES registry on September 11, 2008.
Where is Ricardo Carrillo located?
Ricardo Carrillo practices at 2576 Shattuck Ave Ste 3, Berkeley, CA 94704. The listed phone number is (559) 804-1671.
What is Ricardo Carrillo's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Ricardo Carrillo enrolled in Medicare?
Yes. Ricardo Carrillo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ricardo Carrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Carrillo reassigns Medicare benefits to Ehab Yacoub MD Inc. (Gardena, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ricardo Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ricardo Carrillo was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.