DR. EDWARD ALLISON CHARLESWORTH (NPI# 1114142585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114142585 |
| Entity Type | Individual |
| Full Name | DR. EDWARD ALLISON CHARLESWORTH |
| Credential | PHD |
| Practice Address |
10609 Grant Rd Building B Houston TX 77070-4429 |
| Mailing Address |
11407 Hylander Dr Houston TX 77070-1339 |
| Practice Telephone | 2814696395 |
| Mailing Telephone | 2814696395 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 2-2200 | TX | Behavioral Health & Social Service Providers |
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
2-2200 | TX | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2-2200 | TX | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
2-2200 | TX | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2-2200 | TX | Behavioral Health & Social Service Providers |
| X | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
2-2200 | TX | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
2-2200 | TX | Behavioral Health & Social Service Providers |
| X | 103TH0100X |
Psychologist Specialization: Health Service |
2-2200 | TX | Behavioral Health & Social Service Providers |
| X | 103TH0004X |
Psychologist Specialization: Health |
2-2200 | TX | Behavioral Health & Social Service Providers |
| Street Address |
10609 GRANT RD BUILDING B |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993024 | Diane Carole Schaefer | Social Worker | 10609 Grant Rd, Building B, Houston, TX 77070-4462 | 2014-05-07 |
| 1548486913 | Willowbrook Psychological Associates, PC | Counselor | 10609 Grant Rd, Building B, Houston, TX 77070 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511753 | Gulf Coast Neuropsychology, Pllc | Clinical Neuropsychologist | 1110 Nasa Pkwy Ste 108c, Houston, TX 77058-3351 | 2020-02-28 |
| 1972097145 | Juliette Galindo | Clinical Neuropsychologist | 1333 Moursund Ave, Psychology/neuropsychology H124, Houston, TX 77030-3405 | 2018-06-20 |
| 1154876506 | Holly Carlson - Zhao | Clinical Neuropsychologist | 5858 Westheimer Rd Ste 200, Houston, TX 77057-5643 | 2016-08-15 |
| 1174979835 | Patricia De Oliveira Lima Munoz | Clinical Neuropsychologist | 10700 Richmond Ave Ste 105, Houston, TX 77042-4905 | 2016-05-11 |
| 1518367218 | Psychotherapy Partners | Clinical Neuropsychologist | 11811 North Fwy # I-45s, Suite 547, Houston, TX 77060-3245 | 2014-08-29 |
| 1851733208 | Christina L Burrows | Clinical Neuropsychologist | 1941 East Rd Ste 4358, Houston, TX 77054 | 2013-07-26 |
| 1871847822 | Hilda Julia Hannay | Clinical Neuropsychologist | 4800 Calhoun, University of Houston - Dept. of Psychology, Houston, TX 77204-5022 | 2012-10-30 |
| 1205104668 | Francisco I Perez, Ph.d. & Associates PC | Clinical Neuropsychologist | 6560 Fannin St Ste 1810, Houston, TX 77030-2726 | 2011-12-13 |
| 1518246636 | Shelia M Bailey | Clinical Neuropsychologist | 10503 Huff Dr, Houston, TX 77031-1816 | 2011-08-07 |
| 1104118058 | Carmen Pulido | Clinical Neuropsychologist | 15902 Heatherdale Dr, Houston, TX 77059-5920 | 2011-05-11 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.