Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ricardo Carrillo, PHD

Individual provider Psychologist · NPI 1225287568

Ricardo Carrillo, PHD is a Clinical Psychologist in Berkeley, California. Qualified in 1983, 43 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
43
Licensed in
CA
In the registry since
2008
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

2576 Shattuck Ave Ste 3
Berkeley, CA 94704-2724
Phone: (559) 804-1671
Fax: (888) 733-0664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY11696 (CA)

Record details

NPI number1225287568
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 11, 2008
Last updated in NPPESMarch 2, 2015
Mailing address807 Adams Ct, Pinole, CA 94564-2336

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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