PATRICK B CARRILLO PHD NPI 1356375794

NPI Information

  • NPI: 1356375794
  • Provider Name: PATRICK B CARRILLO, PHD
  • Classification: Psychologist - 103TC1900X
  • Specialization: Counseling
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 820 N CHELAN AVE
    WENATCHEE, WA
    ZIP 98801
  • Phone: (509) 663-8711

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NPI Details

Patrick B Carrillo, PHD is a counseling psychologist in Wenatchee, WA with 21 years of experience. The provider is a psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms. Patrick B Carrillo, PHD NPI is 1356375794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

820 N CHELAN AVE
WENATCHEE, WA
ZIP 98801-028
Phone: (509) 663-8711

The NPI 1356375794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 6/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC1900XPsychologistCounselingPY00003683WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356375794MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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