Individual provider Active NPI

Charline De Carli Tocchi, PSY D.

  • Clinical Psychologist
  • Browns Valley, CA
National Provider Identifier
1730100108
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30617 Issued in CA
Practice address
6305 Bald Mountain Rd. 445
Browns Valley, CA 95918-0445
Phone
(530) 432-2984
NPI assigned
Jul 21, 2006
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 30617 CA Primary

Addresses

Primary practice location

6305 Bald Mountain Rd. 445
Browns Valley, CA 95918-0445

Mailing address

PO Box 445
Browns Valley, CA 95918-0445
Phone (530) 432-2984

Other practice location 1

6319 Bald Mountain Rd. 445
Browns Valley, CA 95918-0445
Phone (530) 749-2334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190212001936 CA Practitioner - Clinical Psychologist 7618215914 Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

148 Holbrooke Way
Grass Valley, CA 95945-9700
Phone (530) 432-2984

944 McCourtney Rd
Suite I
Grass Valley, CA 95949-7401
Phone (530) 432-2984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30617CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1730100108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "BROWNS VALLEY",
            "state": "CA",
            "postal_code": "959180445",
            "telephone_number": "530-432-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 BALD MOUNTAIN RD. 445",
            "city": "BROWNS VALLEY",
            "state": "CA",
            "postal_code": "959180445",
            "telephone_number": "530-432-2984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6319 Bald Mountain Rd. 445",
            "address_purpose": "LOCATION",
            "city": "Browns Valley",
            "state": "CA",
            "postal_code": "959180445",
            "country_code": "US",
            "telephone_number": "530-749-2334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOCCHI",
        "first_name": "CHARLINE",
        "middle_name": "DE CARLI",
        "name_prefix": "Dr.",
        "credential": "PSY D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Browns Valley, CA

Sources for this page

Verify at the official NPI Registry.