Individual provider · Type 1 NPI
Carl Neilon Modeste, PhD
Intellectual & Developmental Disabilities Psychologist · Brentwood, CA
NPI number
1538080767
Active
Practice location
18 Oak St Unit 1477
Brentwood, CA 94513-7560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 36762 (CA) |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 36762 (CA) |
| Cognitive & Behavioral Psychologist | 103TB0200X | 36762 (CA) |
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 36762 (CA) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
About NPI 1538080767
Carl Neilon Modeste, PhD's National Provider Identifier is 1538080767, issued on Jul 23, 2026. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Brentwood, CA. The record was last updated on Jul 23, 2026.