Individual provider Active NPI

Robert Dicarlo, PHD

  • Forensic Psychologist
  • Scottsdale, AZ
National Provider Identifier
1851887251
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSY-004980 Issued in AZ
Practice address
8350 E Raintree Dr Ste 120
Scottsdale, AZ 85260-2691
Phone
(480) 840-0400
Fax
(480) 840-0499
NPI assigned
Jul 9, 2018
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY-004980 AZ
Counseling Psychologist 103TC1900X PSY-004980 AZ
Family Psychologist 103TF0000X PSY-004980 AZ
Forensic Psychologist 103TF0200X PSY-004980 AZ Primary

Addresses

Primary practice location

8350 E Raintree Dr Ste 120
Scottsdale, AZ 85260-2691

Mailing address

8350 E Raintree Dr Ste 120
Scottsdale, AZ 85260-2691
Phone (480) 840-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-004980AZMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Family Transformations PLLC Forensic Current Accepting new patients

Locations

8350 E Raintree Dr
Ste 120
Scottsdale, AZ 85260
Phone (480) 459-4926

Organizations & group practices 1

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1851887251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 E RAINTREE DR STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602691",
            "telephone_number": "480-840-0400",
            "fax_number": "480-840-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 E RAINTREE DR STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602691",
            "telephone_number": "480-840-0400",
            "fax_number": "480-840-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "PSY-004980",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "PSY-004980",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "AZ",
            "license": "PSY-004980",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "PSY-004980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.