DR. CHARLES OLIVER IV PYSD
NPI 1790549426
Psychologist - Clinical in Troy, MI

Active since February 13, 2024PECOS Enrolled
2501 ROCHESTER CT, TROY, MI 48083(248) 891-8380 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles Oliver Iv Pysd NPPES

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

DR. CHARLES OLIVER IV PYSD (NPI 1790549426) is an individual clinical provider in Troy, Michigan, licensed in Michigan (6351004590) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1790549426
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CHARLES OLIVER IVCredential: PYSD
Location Address2501 ROCHESTER CTTroy, MI 48083-1875
Mailing Address2501 Rochester CtTroy, MI 48083-1875 · (248) 764-9875
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1790549426 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 · 6351004590
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.
2501 ROCHESTER CT, Troy, MI 48083

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Charles Oliver Iv Pysd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214403138
PECOS Enrollment IDI20260417002889
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 48083 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 5

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

Counselor (Professional)
2501 ROCHESTER CT
TROY, MI 48083
Counselor (Mental Health)
2501 ROCHESTER CT
TROY, MI 48083
Clinic/Center (Mental Health (Including Community Mental Health Center))
2501 ROCHESTER CT
TROY, MI 48083
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2501 ROCHESTER CT
TROY, MI 48083
Counselor (Mental Health)
2501 ROCHESTER CT
TROY, MI 48083

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 Oliver's NPI number?

The NPI number for Charles Oliver is 1790549426. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Charles Oliver located?

Charles Oliver practices at 2501 Rochester Ct, Troy, MI 48083. The listed phone number is (248) 891-8380.

What is Charles Oliver's specialty?

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

Is Charles Oliver enrolled in Medicare?

Yes. Charles Oliver is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Oliver 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.