Carolina Bacchi Psychotherapy and Psychoanalysis, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CAROLINA BACCHI PSYCHOTHERAPY AND PSYCHOANALYSIS, LLC

Doing business as

Carolina Bacchi, Psy.D.

Practice address

5665 College Ave Ste 340C
Oakland, CA 94618-1658

Phone

(510) 594-4314

Fax

(510) 356-2929

NPI assigned

Jul 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Carolina Bacchi, PSY.D.NPI 1932490752

Title

Owner

Phone

(510) 594-4314

Specialties & licenses 1

Addresses

Other names 1

• Carolina Bacchi, Psy.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolina Bacchi, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Berkeley, CA
  • NPI 1932490752
  Medicare reassignment NPD Authorized official
• Bret Jonathan Fimiani, PSY.D.

  • Clinical Psychologist
  • San Francisco, CA
  • NPI 1568713519
  NPD (past)

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1932727906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WELLFLEET BAY",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945026459",
            "telephone_number": "510-219-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA BACCHI PSYCHOTHERAPY AND PSYCHOANALYSIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "BACCHI",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-594-4314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Bacchi, Psy.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joycelyn Carney
• Kishay Carney
• Natalia Lorena Carney
• Jolie Carniglia
• Rene Caro, MD
• Carolyn Finnegan Chiropractic Corporation
• Carolyn Finnegan Chiropractic Corporation Align Chiropractic Center
• Carolyn Million, MD
• April Carpenter
• Jason Carpenter I

• Clinical Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.