Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Oliver IV, PYSD

Individual provider Clinical Psychologist · NPI 1790549426

Dr. Charles Oliver IV, PYSD is a Clinical Psychologist in Troy, Michigan. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
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Practice location Address checks out

2501 Rochester Ct
Troy, MI 48083-1875
Phone: (248) 891-8380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6351004590 (MI)

Record details

NPI number1790549426
Entity typeIndividual (Type 1)
GenderMale
Credentials PYSD
Sole proprietorYes
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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