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

Individual provider Clinical Psychologist · NPI 1699831875

Dr. Charles Philip Colosimo, PHD is a Clinical Psychologist in Las Vegas, Nevada. Qualified in 1980, 46 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
46
Licensed in
NV
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

501 S Rancho Dr Ste C14
Las Vegas, NV 89106-4831
Phone: (702) 384-7433
Fax: (702) 366-1204
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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 PY0236 (NV)

Record details

NPI number1699831875
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 29, 2006
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020
Mailing address501 S Rancho Dr Ste C14, Las Vegas, NV 89106-4831

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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