Individual provider Active NPI

Charisma Dalvi, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1649143165
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071022317 Issued in IL
Practice address
160 E Grand Ave Ste 500
Chicago, IL 60611-3800
Phone
(847) 686-0090
NPI assigned
Sep 29, 2025
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071022317 IL Primary

Addresses

Primary practice location

160 E Grand Ave Ste 500
Chicago, IL 60611-3800

Mailing address

160 E Grand Ave Ste 500
Chicago, IL 60611-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219001525 IL Practitioner - Clinical Psychologist 4688154446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Behavioral Health Cooperative LLCGroup PAC ID 1355732777, 10 clinicians

Practice addresses (Care Compare)

160 E Grand Ave
Suite 500
Chicago, IL 60611-3800
Phone (847) 686-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071022317ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Behavioral Health Cooperative, LLC Clinical CurrentSince Jan 11, 2026 Accepting new patients
Pcpa Legacy, LLC Clinical PastSince Oct 5, 2025 Accepting new patients

Locations

160 E Grand Ave
Ste 500
Chicago, IL 60611

300 Center Dr
Ste 103
Vernon Hills, IL 60061
Phone (224) 381-2824

572B Lincoln Ave
Winnetka, IL 60093
Phone (847) 501-4040

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1649143165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E GRAND AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E GRAND AVE STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113800",
            "telephone_number": "847-686-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALVI",
        "first_name": "CHARISMA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071022317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.