DR. CARLOS A. VIDALES PHD
NPI 1891634309
Psychologist in Burbank, CA

Active since March 27, 2026PECOS EnrolledAccepts Medicare Assignment
500 E OLIVE AVE STE 540, BURBANK, CA 91501(818) 446-2522 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carlos A. Vidales Phd NPPES

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

DR. CARLOS A. VIDALES PHD (NPI 1891634309) is an individual psychologist in Burbank, California, licensed in California (36673) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891634309
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. CARLOS A. VIDALESCredential: PHD
Location Address500 E OLIVE AVE STE 540Burbank, CA 91501-2132
Mailing Address1425 S Leland AveWest Covina, CA 91790-2434
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1891634309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · 36673
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
500 E OLIVE AVE STE 540, Burbank, CA 91501

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

Dr. Carlos A. Vidales Phd 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 ID3678049905
PECOS Enrollment IDI20260415001621
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 Carlos Vidales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
500 E OLIVE AVE STE 540
Burbank, CA 91501
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 10

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

Psychologist
500 E OLIVE AVE STE 540
BURBANK, CA 91501
Psychologist (Clinical)
500 E OLIVE AVE STE 540
BURBANK, CA 91501
Psychologist (Clinical)
500 E OLIVE AVE STE 540
BURBANK, CA 91501
Psychologist (Clinical)
500 E OLIVE AVE STE 540
BURBANK, CA 91501
Psychologist (Clinical)
500 E OLIVE AVE STE 540
BURBANK, CA 91501
Psychologist (Clinical)
500 E OLIVE AVE STE 540
BURBANK, CA 91501
Psychologist
500 E OLIVE AVE STE 540
BURBANK, CA 91501
Psychologist
500 E OLIVE AVE STE 540
BURBANK, CA 91501

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 Carlos Vidales's NPI number?

The NPI number for Carlos Vidales is 1891634309. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Carlos Vidales located?

Carlos Vidales practices at 500 E Olive Ave Ste 540, Burbank, CA 91501. The listed phone number is (818) 446-2522.

What is Carlos Vidales's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Carlos Vidales enrolled in Medicare?

Yes. Carlos Vidales 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 Carlos Vidales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Vidales reassigns Medicare benefits to Rowan Center For Behavioral Medicine, A Psychological Corporation (Burbank, 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 Carlos Vidales'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 Carlos Vidales was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.