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CHARLES ROCK CARLSON JR. D.O.
NPI 1376077826
Psychiatry & Neurology - Psychiatry in Roseville, CA

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
1660 E ROSEVILLE PKWY STE 100, ROSEVILLE, CA 95661(916) 973-5300 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2023, Feb 28, 2021, Apr 11, 2017 (3 updates tracked since 2017).

About Charles Rock Carlson Jr. D.o. NPPES

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

CHARLES ROCK CARLSON JR. D.O. (NPI 1376077826) is an individual psychiatry provider in Roseville, California, licensed in California (20A20898) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2017).

NPPES Registry Identity

NPI1376077826
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameCHARLES ROCK CARLSON JR.Credential: D.O.
Location Address1660 E ROSEVILLE PKWY STE 100Roseville, CA 95661-3988
Mailing Address1660 E Roseville Pkwy Ste 100Roseville, CA 95661-3988 · (916) 973-5300
Phone(916) 973-5300
Sole ProprietorYes
Medical School CMSTouro Un Col Of Osteopathic Medicine, HendersonGraduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateFebruary 13, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
✔ NPI 1376077826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · 20A20898✔ Licensed in OH · 34.013717
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1660 E ROSEVILLE PKWY STE 100, Roseville, CA 95661
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 844-1000
Location 27232 Justin WayMentor, OH 44060-4881 · Phone (440) 578-8200

Other Identifiers 1

Medicaid0235202OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Rock Carlson Jr. D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961774567
PECOS Enrollment IDI20230907002223
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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
50 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
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 20

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

CHRISTINA E PARKER PSYD
Psychologist
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Placer County (916) 973-5300
DR. JOSEPHINE NGO PHD
Psychologist (Clinical)
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Placer County (916) 878-4377
BRIDGET MARIE THORNBERRY
Student in an Organized Health Care Education/Training Program
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Placer County (916) 807-2830
MS. JAMIE ANN SEPULVEDA
Social Worker (Clinical)
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Placer County (916) 973-5300
COURTNEY ELIZABETH PARKER PSYD
Psychologist
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Placer County (916) 973-5300
DR. TIARE M BENDRISS PH.D.
Psychologist
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Placer County (916) 973-5300
LESLIE PEARSON M.S.W,
Counselor (Mental Health)
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Placer County (916) 973-5300
DR. DUSTIN BRETT BRIDGES PHD
Psychologist (Clinical)
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA 95661
Placer County (916) 342-5168

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 Charles Carlson's NPI number?

The NPI number for Charles Carlson is 1376077826. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Charles Carlson located?

Charles Carlson practices at 1660 E Roseville Pkwy Ste 100, Roseville, CA 95661. The listed phone number is (916) 973-5300.

What is Charles Carlson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Charles Carlson enrolled in Medicare?

Yes. Charles Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Charles Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Carlson reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Charles Carlson'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 Charles Carlson was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.