CHARLES STEVEN MANLEY (NPI# 1508910316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508910316 |
| Entity Type | Individual |
| Full Name | CHARLES STEVEN MANLEY |
| Credential | PH.D. |
| Practice Address |
4100 Fairway Dr Ste. 200 Carrollton TX 75010-6525 |
| Practice Telephone | 9722211741 |
| Practice Fax Number | 9724282043 |
| Mailing Telephone | 9722211741 |
| Mailing Fax Number | 9724282043 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2012-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 23213 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 23213 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689172009 | Charles Manley | Pharmacist | 1604 W Market St, Bolivar, TN 38008-1536 | 2018-01-31 |
| Street Address |
4100 FAIRWAY DR STE. 200 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944366 | Alison Jennifer Taylor | Occupational Therapist | 4100 Fairway Dr, Ste 400, Carrollton, TX 75010-6525 | 2005-07-06 |
| 1144777814 | Amanda M Warneke | Physician Assistant | 4100 Fairway Dr, Suite 100, Carrollton, TX 75010-6525 | 2016-09-09 |
| 1093174062 | Jessica M. Novak | Physical Therapist | 4100 Fairway Dr, Suite 400, Carrollton, TX 75010-6525 | 2016-02-18 |
| 1851715304 | Tms Neuro Solutions, LLC | Clinic/Center | 4100 Fairway Dr, Suite 200, Carrollton, TX 75010-6525 | 2014-02-04 |
| 1821340472 | Fairway Pediatrics, Pllc | Pediatrics | 4100 Fairway Dr, Suite 300, Carrollton, TX 75010-6525 | 2012-10-06 |
| 1508115718 | Fairway Family Medicine-primary Care, Pllc | Clinic/Center | 4100 Fairway Dr, 320, Carrollton, TX 75010-6525 | 2012-09-04 |
| 1992071724 | Thomas Adams | Physical Therapist | 4100 Fairway Dr, Suite 400, Carrollton, TX 75010-6525 | 2012-03-27 |
| 1134491046 | Summit Behavioral Health Pllc | Psychiatry & Neurology | 4100 Fairway Dr, Bldg # 200, Carrollton, TX 75010-6525 | 2012-02-08 |
| 1093099558 | Realtime Laboratories, Inc | Clinical Medical Laboratory | 4100 Fairway Dr, Ste 600, Carrollton, TX 75010-6525 | 2011-10-03 |
| 1982907465 | Lisa Renee Reznick Md, Pa | Durable Medical Equipment & Medical Supplies | 4100 Fairway Dr, Suite 120, Carrollton, TX 75010-6525 | 2010-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578086120 | Samuel Reyna | Psychologist | 4221 Medical Pkwy Ste 400, Carrollton, TX 75010-4548 | 2017-07-25 |
| 1518397637 | Bariatric Evaluations | Psychologist | 1713 Station Pl, Carrollton, TX 75007-5014 | 2013-11-27 |
| 1356699847 | Katie Jeanne Cantero | Psychologist | 2441 Medical Parkway, Suite 400, Carrollton, TX 75010 | 2012-08-15 |
| 1790090025 | Dallas Sigma Counseling Services, Inc. | Psychologist | 1902 Country Club Dr Ste 120, Carrollton, TX 75006-5824 | 2010-08-11 |
| 1861725921 | Jon M Shepard | Psychologist | 4020 Huffines, Suite 120, Carrollton, TX 75010-6524 | 2009-09-08 |
| 1356527121 | Robin Sherck-o'connor | Psychologist | 1024 Hunters Creek Dr, Carrollton, TX 75007-1110 | 2008-01-11 |
| 1922144641 | Ronee Smith Griffith | Psychologist | 302 Courtyard Sq, Carrollton, GA 30117-3249 | 2007-01-29 |
| 1992889554 | Annette Helmcamp | Psychologist | 2625 N Josey Ln Ste 250, Carrollton, TX 75007-5538 | 2006-10-24 |
| 1376503219 | Norlydia F. Mcbee | Psychologist | 200 Glen Eagles Court, Suite 9b, Carrollton, GA 30117-4267 | 2006-03-24 |
| 1407360860 | Starbrook Therapy Center, Inc. | Psychologist | 4221 Medical Pkwy Ste 400, Carrollton, TX 75010-4548 | 2017-11-21 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on CHARLES STEVEN MANLEY.
| 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.