Charles Philip Colosimo, PH D
NPI 1699831875ActiveIndividual· Psychologist, Clinical· Las Vegas, NV
Psychologist, Clinical (PH D) in Las Vegas, Nevada, licensed in NV, with an NPI issued in December 2006. Medicare paid $8,843 for services to 11 patients in 2024.
Overview
| NPI | 1699831875 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH D |
| Sole proprietor | Yes |
| NPI issued | Dec 29, 2006 |
| Last updated in NPPES | Sep 30, 2020 |
| Certified by provider | Sep 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY0236 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 118 across 2 procedure codes |
| Paid by Medicare | $8,843 |
Education and affiliations
| Graduation year | 1980 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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