Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902904295 Individual Practitioner Female Practitioner

Dr. Charlene Jesse Carlock , PhD

Psychologist • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Charlene Carlock, PhD is a registered healthcare professional specializing in Psychologist in Dayton, OH. Practice services are available at 1105 WATERVLIET AVE under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1105 Watervliet Ave

Dayton, OH 45420

Telephone 9372560500
Fax 9372562136
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.1 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
65 Specialists

Practicing in Dayton, OH (1639 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
15.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
247 20 $150.00 $126.54

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OH 2754

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem
000000395770

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kristy Scherer , PCC SC

Counselor - Professional

NPI 1003927575

PCCSC

Dr. Kathleen Glaus , PhD, PsyD

Psychologist - Clinical

NPI 1477797298

Doctor of Philosophy (Ph.D.), Doctor of Psychology (Psy.D.)

Carol Pratt , LISW

Social Worker

NPI 1568566065

Licensed Independent Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2008

Registered at 1105 WATERVLIET AVE, DAYTON, OH 45420 (Tel: 9372560500)

📍
Updated Business Mailing Address February 18, 2008

Registered at 1105 WATERVLIET AVE, DAYTON, OH 45420 (Tel: 9372560500)

👤
Provider Name / Credentials Updated February 18, 2008

Recorded as CHARLENE CARLOCK, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2008

Psychologist (License #2754 in OH)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Charlene Carlock. Be the first to share your experience!

Sign in to leave a review for Dr. Charlene Carlock

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1902904295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: February 18, 2008
Sole Proprietor: No

Mailing Address

1105 Watervliet Ave

Dayton, OH 45420

Phone: 9372560500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.