CHARLES CARLISE EDD PSYCHOLOGIST (NPI# 1497948707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497948707 |
| Entity Type | Organization |
| Organization Name | CHARLES CARLISE EDD PSYCHOLOGIST |
| Practice Address |
2345 E Thomas Rd Suite 295 Phoenix AZ 85016-7848 |
| Practice Telephone | 6026222933 |
| Practice Fax Number | 6029573063 |
| Mailing Telephone | 6026222933 |
| Mailing Fax Number | 6029573063 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Authorized Official Name | DR. CHARLES GASPER CARLISE (PSYCHOLOGIST) |
| Authorized Official Telephone | 6026222933 |
| Authorized Official Credential | EDD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | 3229 | AZ | Agencies |
| Street Address |
2345 E THOMAS RD SUITE 295 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477582187 | Lizabeth Starkey | Specialist | 2345 E Thomas Rd, Suite 410, Phoenix, AZ 85016-7848 | 2006-07-03 |
| 1851870349 | Andrea Thomas | Counselor | 2345 E Thomas Rd, Phoenix, AZ 85016-7848 | 2018-08-07 |
| 1740739770 | Scott Naegele | Counselor | 2345 E Thomas Rd, Suite 370, Phoenix, AZ 85016-7848 | 2016-10-03 |
| 1033475843 | Grossman & Grossman, Ltd. | Community/Behavioral Health | 2345 E Thomas Rd, Phoenix, AZ 85016-7848 | 2012-04-05 |
| 1417225426 | Cheri M Pott | Family Medicine | 2345 E Thomas Rd, Suite # 420, Phoenix, AZ 85016-7848 | 2011-12-05 |
| 1184921413 | Grossman & Grossman, Ltd. | Counselor | 2345 E Thomas Rd, Ste 360, Phoenix, AZ 85016-7848 | 2011-02-23 |
| 1720213598 | Jacob Jones | Podiatrist | 2345 E Thomas Rd, Suite # 420, Phoenix, AZ 85016-7848 | 2009-05-22 |
| 1356526719 | Theodora Carter | Counselor | 2345 E Thomas Rd, 418, Phoenix, AZ 85016-7848 | 2008-01-04 |
| 1821296195 | William Lewis Riedel | Counselor | 2345 E Thomas Rd, 412, Phoenix, AZ 85016-7848 | 2007-07-06 |
| 1487776597 | Thomas J. Selby | Psychologist | 2345 E Thomas Rd, Suite 385, Phoenix, AZ 85016-7848 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861701 | Agape Love Community Center LLC | Public Health or Welfare | 2750 W Mcdowell Rd, Phoenix, AZ 85009-2605 | 2020-11-04 |
| 1508481854 | Hamoecrc, LLC | Public Health or Welfare | 4413 N 106th Ave, Phoenix, AZ 85037-5563 | 2020-06-12 |
| 1699307306 | Arizona Healthcare Outreach | Public Health or Welfare | 3581 W Northern Ave Ste 8, Phoenix, AZ 85051-9404 | 2020-02-10 |
| 1194113506 | Esperanza Dental Clinic LLC | Public Health or Welfare | 321 W Hatcher Rd Ste 108, Phoenix, AZ 85021-2400 | 2015-01-07 |
| 1457609406 | Psa Behavioral Health Agency | Public Health or Welfare | 8027 N Black Canyon Hwy, Suite 2, Phoenix, AZ 85021-4802 | 2012-08-23 |
| 1073893988 | Inside Access, LLC | Public Health or Welfare | 4044 E Mountain Vista Dr, Phoenix, AZ 85048-7489 | 2011-08-23 |
| 1417143884 | Area Agency On Aging, Region One, Incorporated | Public Health or Welfare | 1366 E Thomas Rd Ste 108, Phoenix, AZ 85014-5739 | 2007-09-19 |
| 1548462716 | Arizona Medical Boutique, LLC | Public Health or Welfare | 35017 N 30th Dr, Phoenix, AZ 85086-3224 | 2007-06-01 |
| 1093929069 | Psa Behavioral Health Agency | Public Health or Welfare | 1014 N 2nd St, Phoenix, AZ 85004-1969 | 2007-05-09 |
| 1881680452 | Psa Behavioral Health Agency | Public Health or Welfare | 2255 W Northern Ave, Suite B-100, Phoenix, AZ 85021-4936 | 2005-09-20 |
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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.