RICARDO CARRILLO PHD
NPI 1225287568
Psychologist in Berkeley, CA

Active since September 11, 2008PECOS Enrolled
2576 SHATTUCK AVE STE 3, BERKELEY, CA 94704(559) 804-1671(888) 733-0664 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1225287568
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameRICARDO CARRILLOCredential: PHD
Location Address2576 SHATTUCK AVE STE 3Berkeley, CA 94704-2724
Mailing Address807 Adams CtPinole, CA 94564-2336 · (559) 804-1671 · Fax (888) 733-0664
Fax(888) 733-0664
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateSeptember 11, 2008
Last NPPES UpdateMarch 2, 2015
NPI 1225287568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY11696
Definition
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.
2576 SHATTUCK AVE STE 3, Berkeley, CA 94704

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ricardo Carrillo Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012498710
PECOS Enrollment IDI20260220001742
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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.