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ALISSA CHARVONIA
NPI 1235635020
Psychologist - Clinical in San Bernardino, CA

Active since April 02, 2018PECOS Enrolled
1499 S TIPPECANOE AVE # A, SAN BERNARDINO, CA 92408(909) 799-3777(909) 799-5999 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 11, 2025, Sep 3, 2025 (2 updates tracked since 2025).

About Alissa Charvonia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISSA CHARVONIA (NPI 1235635020) is an individual clinical provider in San Bernardino, California, licensed in California (35989) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235635020
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameALISSA CHARVONIA
Location Address1499 S TIPPECANOE AVE # ASan Bernardino, CA 92408-2920
Mailing Address11175 Campus St # A1120Loma Linda, CA 92350-1700 · (909) 558-8626
Phone(909) 799-3777
Fax(909) 799-5999
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 2, 2018
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1235635020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 35989
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1499 S TIPPECANOE AVE # A, San Bernardino, CA 92408
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Other Identifiers 1

Other1578772323CA · Telecare Camarillo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alissa Charvonia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123522943
PECOS Enrollment IDI20250916002384
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE CASTRO OTD, OTR/L
Occupational Therapist (Pediatrics)
1499 S TIPPECANOE AVE # A
SAN BERNARDINO, CA 92408
San Bernardino County (909) 799-3777

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 Alissa Charvonia's NPI number?

The NPI number for Alissa Charvonia is 1235635020. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Alissa Charvonia located?

Alissa Charvonia practices at 1499 S Tippecanoe Ave # A, San Bernardino, CA 92408. The listed phone number is (909) 799-3777.

What is Alissa Charvonia's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alissa Charvonia enrolled in Medicare?

Yes. Alissa Charvonia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alissa Charvonia was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.