Carolina Bacchi, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY23258 Issued in CA

Practice address

3120 Telegraph Ave Ste 1
Berkeley, CA 94705-1964

Phone

(510) 594-4314

NPI assigned

Apr 27, 2011

Last updated

Jul 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Bacchi Psychotherapy and Psychoanalysis, LLC

  dba Carolina Bacchi, Psy.D.

  • Clinical Psychologist
  • Oakland, CA
  • NPI 1932727906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1932490752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 COLLEGE AVE STE 340C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181658",
            "telephone_number": "510-594-4314",
            "fax_number": "510-356-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 TELEGRAPH AVE STE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051964",
            "telephone_number": "510-594-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHI",
        "first_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY23258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Stewart Ayres, LCSW
• Pouneh Azadi
• Sadaf Azizi
• Emily Alexia Azmitia
• Victoria Baca
• Noah Bach Bar-Tura, PSYD
• Anita Backer, RN
• Howard D. Backer, MD
• Briahn Bariya Badelle, LCSW
• Trissa Baden, MD

• Clinical Child & Adolescent Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.