CHARLES PEARSON (NPI# 1457578585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457578585 |
| Entity Type | Individual |
| Full Name | CHARLES PEARSON |
| Credential | MFTI |
| Practice Address |
423 Mackay Dr San Bernardino CA 92408-3230 |
| Mailing Address |
1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 |
| Practice Telephone | 9093889191 |
| Practice Fax Number | 9093889195 |
| Mailing Telephone | 5103377950 |
| Mailing Fax Number | 5103377969 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 40304 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1629400932 | Charles Christopher Pearson | Pharmacist | 526 Autumnstone Ln, Bowling Green, KY 42103-6005 | 2013-08-08 |
| 1811042484 | Charles Patrick Pearson | Dentist | 43158 Dequindre Rd, Sterling Heights, MI 48314-1723 | 2007-01-24 |
| 1366553216 | Charles Woods Pearson | Social Worker | 158 E 35th St, Postgraduate Center for Mental Health, New York, NY 10016-4102 | 2006-08-31 |
| 1760496384 | Charles Pearson | Psychiatry & Neurology | 13911 Ridgedale Dr Ste 255, Minnetonka, MN 55305-1773 | 2006-07-28 |
| 1639120488 | Charles D Pearson | Optometrist | 6560 E State St, Rockford, IL 61108-2545 | 2006-05-15 |
| 1053696757 | Charles William Pearson | Pharmacist | 441 N Kirkwood Rd, Kirkwood, MO 63122-3911 | 2011-10-14 |
| 1801806153 | Charles Lane Pearson Jr. | Internal Medicine | 7777 Hennessy Blvd, Ste. 701, Baton Rouge, LA 70808-4300 | 2006-08-09 |
| 1043258155 | Charles Ray Pearson | Emergency Medicine | 240 Highland Dr, Many, LA 71449-3718 | 2006-06-02 |
| 1598720740 | Charles W Pearson | Nurse Practitioner | 4000 Kresge Way, Louisville, KY 40207-4605 | 2006-04-19 |
| Street Address |
423 MACKAY DR |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306062807 | Daniel Timmons | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-04-17 |
| 1386243566 | Randall William Fowler Jr. | Case Manager/Care Coordinator | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2020-10-20 |
| 1912558958 | Socorro Denise Castellanos | Student in an Organized Health Care Education/Training Program | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2019-09-20 |
| 1477839256 | William Lorenzo Lamas | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2011-10-25 |
| 1093047128 | John Robert Burns | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2010-01-29 |
| 1609101344 | Core San Bernardino | Clinic/Center | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2009-10-14 |
| 1700097516 | Devon M Hicks | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-05-24 |
| 1871719302 | Amy Arias | Licensed Vocational Nurse | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-04-17 |
| 1285850750 | Editha Padua | Registered Nurse | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-04-17 |
| 1174749675 | Beatrice Serafin | Counselor | 423 Mackay Dr, San Bernardino, CA 92408-3230 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031886 | Sarah Lynne Beaver | Marriage & Family Therapist | 1314 E Date St, San Bernardino, CA 92404-4234 | 2020-07-28 |
| 1437772316 | Irene Dean Reynosa | Marriage & Family Therapist | 5182 Sundance Dr, San Bernardino, CA 92407-2994 | 2020-05-26 |
| 1396384442 | Jeffrey Boyd Inc. | Marriage & Family Therapist | 409 W 17th St, San Bernardino, CA 92405-4413 | 2020-01-06 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1215409727 | Mariela Aguilera Medrano | Marriage & Family Therapist | 766 N Waterman Ave, San Bernardino, CA 92410-4435 | 2018-12-21 |
| 1083196166 | Lobban Marriage and Family Therapy Inc | Marriage & Family Therapist | 473 E. Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2018-09-05 |
| 1932699980 | Christiana Schenck | Marriage & Family Therapist | 720 East Gilbert Street, San Bernardino, CA 92415-0001 | 2018-05-15 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
Please comment or provide details below to improve the information on CHARLES PEARSON.
| 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.