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CARSON AM TABIOLO
NPI 1932575941
Psychologist - Clinical in Apo, AE

Active since August 12, 2015Opted out of Medicare · through Jan 23, 2028
MEDDAC-BAVARIA, PSC 411 UNIT 28037, APO, AE 09112(314) 590-3878 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carson Am Tabiolo NPPES

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

CARSON AM TABIOLO (NPI 1932575941) is an individual clinical provider in Apo, AE, licensed in Hawaii (PSY-2059) and active in the NPI registry since August 2015. She has opted out of Medicare through January 23, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932575941
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCARSON AM TABIOLO
Location AddressMEDDAC-BAVARIA, PSC 411 UNIT 28037Apo, AE 09112
Mailing AddressMeddac-bavaria, Psc 411 Unit 28037Apo, AE 09112
Phone(314) 590-3878
Sole ProprietorYes
Enumeration DateAugust 12, 2015
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1932575941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in HI · PSY-2059
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MHC849 (HI)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carson Am Tabiolo 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 January 23, 2026 through January 23, 2028.

Opt-Out Effective DateJanuary 23, 2026
Opt-Out In Effect ThroughJanuary 23, 2028Opt-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.

MR. ANDREW S JARMUS MSW, LCSW
Social Worker (Clinical)
MEDDAC-BAVARIA, CMR 411
APO, AE 09112
(314) 590-3615
PATRICK MICHAEL ROBERTS PA
Physician Assistant
MEDDAC-BAVARIA, CMR 411
APO, AE 09112
(586) 354-0576
DR. ROBERT CLARK HAYNES III DO, MPH
Preventive Medicine (Public Health & General Preventive Medicine)
MEDDAC-BAVARIA, CMR 411 UNIT 28037
APO, AE 09112
(253) 968-4986
MARK PARK DDS
Dentist
MEDDAC-BAVARIA, CMR 411
APO, AE 09112
(314) 590-2800
ALEXIS ELIZABETH MARSHALL PA-C
Physician Assistant
MEDDAC-BAVARIA, PSC 411 UNIT 28037
APO, AE 09112
(757) 339-9767
DOUGLAS SPENCER PA-C
Physician Assistant
MEDDAC-BAVARIA, PSC 411 UNIT 28037
APO, AE 09112
(314) 590-2500
MS. KRISTI LYNN JACKSON LCSW
Social Worker (Clinical)
MEDDAC-BAVARIA, PSC 411 BUILDING 700 UNIT 28307
APO, AE 09112
(491) 601-2373
DR. MICA YSABEL TAN DMD
Dentist (General Practice)
MEDDAC-BAVARIA, CMR 411
APO, AE 09112
(314) 590-3247

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 Carson Tabiolo's NPI number?

The NPI number for Carson Tabiolo is 1932575941. It was assigned to this individual provider in the NPPES registry on August 12, 2015.

Where is Carson Tabiolo located?

Carson Tabiolo practices at Meddac-Bavaria Psc 411 Unit 28037, Apo, AE 09112. The listed phone number is (314) 590-3878.

What is Carson Tabiolo's specialty?

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

Is Carson Tabiolo enrolled in Medicare?

No. Carson Tabiolo has opted out of Medicare through January 23, 2028. 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.

What insurance does Carson Tabiolo accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Carson Tabiolo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carson Tabiolo was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.