CHARLES ANTHONY DECARLO TLLP
NPI 1699668889
Psychologist - Clinical in Livonia, MI

Q: What is Charles Decarlo's NPI number?

The NPI number for Charles Decarlo is 1699668889. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Q: What is Charles Decarlo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Decarlo was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 29, 2025

15127 BAINBRIDGE ST, LIVONIA, MI 48154(734) 771-5788 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles Anthony Decarlo Tllp NPPES

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

CHARLES ANTHONY DECARLO TLLP (NPI 1699668889) is an individual clinical provider in Livonia, Michigan, licensed in Michigan (6362010154APP25) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1699668889

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCHARLES ANTHONY DECARLOCredential: TLLP

Location Address15127 BAINBRIDGE STLivonia, MI 48154-3649

Mailing Address15127 Bainbridge StLivonia, MI 48154-3649 · (734) 771-5788

Phone(734) 771-5788

Sole ProprietorYes

Enumeration DateMay 29, 2025

NPPES CertifiedMay 29, 2025

✔ NPI 1699668889 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 MI · 6362010154APP25

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.

15127 BAINBRIDGE ST, Livonia, MI 48154

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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 Decarlo's NPI number?

The NPI number for Charles Decarlo is 1699668889. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Charles Decarlo located?

Charles Decarlo practices at 15127 Bainbridge St, Livonia, MI 48154. The listed phone number is (734) 771-5788.

What is Charles Decarlo's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Decarlo was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.