DR. JESSICA LEIGH DICARLO MD
NPI 1568814283
Psychiatry & Neurology - Child & Adolescent Psychiatry in Houston, TX

Active since July 06, 2016Opted out of Medicare · through Feb 7, 2027
6410 FANNIN ST, HOUSTON, TX 77030(713) 486-2428 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2022, Aug 26, 2016 (2 updates tracked since 2016).

About Dr. Jessica Leigh Dicarlo Md NPPES

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

DR. JESSICA LEIGH DICARLO MD (NPI 1568814283) is an individual child & adolescent psychiatry provider in Houston, Texas, licensed in Texas (S6158) and active in the NPI registry since July 2016. She has opted out of Medicare through February 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568814283
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JESSICA LEIGH DICARLOCredential: MD
Location Address6410 FANNIN STHouston, TX 77030-3000
Mailing Address1941 East RdHouston, TX 77054-6010 · (713) 486-2428
Sole ProprietorNo
Enumeration DateJuly 6, 2016
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1568814283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in TX · S6158
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
6410 FANNIN ST, Houston, TX 77030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jessica Leigh Dicarlo Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 7, 2025 through February 7, 2027.

Opt-Out Effective DateFebruary 7, 2025
Opt-Out In Effect ThroughFebruary 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Clinic/Center (Ambulatory Surgical)
6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030
Nurse Practitioner (Acute Care)
6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST
HOUSTON, TX 77030
Family Medicine
6410 FANNIN ST, 250
HOUSTON, TX 77030
Surgery (Pediatric Surgery)
6410 FANNIN ST, 1400
HOUSTON, TX 77030
Psychologist
6410 FANNIN ST, 230
HOUSTON, TX 77030
Internal Medicine (Hepatology)
6410 FANNIN ST, 370
HOUSTON, TX 77030

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 Jessica Dicarlo's NPI number?

The NPI number for Jessica Dicarlo is 1568814283. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Jessica Dicarlo located?

Jessica Dicarlo practices at 6410 Fannin St, Houston, TX 77030. The listed phone number is (713) 486-2428.

What is Jessica Dicarlo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jessica Dicarlo enrolled in Medicare?

No. Jessica Dicarlo has opted out of Medicare through February 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jessica Dicarlo was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.