Individual provider Active NPI

Charlotte Lace Beard, PHD

  • Psychologist
  • Santa Clara, CA
National Provider Identifier
1043899081
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32466 Issued in CA
Practice address
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone
(669) 210-2563
Fax
(949) 264-9261
NPI assigned
Apr 6, 2021
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 32466 CA Primary

Addresses

Primary practice location

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140

Mailing address

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone (669) 210-2563

Other practice location 1

30 Lower Valley Rd
Kalispell, MT 59901-7921
Phone (669) 250-6040

Other practice location 2

1902 120th Pl SE Ste 201
Everett, WA 98208-6292
Phone (425) 258-7602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 1, 2025 through Jun 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32466CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Openworld Psychology Inc Psychologist CurrentSince Aug 18, 2024 Accepting new patients

Locations

31831 Camino Capistrano
Ste 100
San Juan Capistrano, CA 92675
Phone (949) 487-5251

31831 Camino Capistrano
Ste 111
San Juan Capistrano, CA 92675

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

30 Lower Valley Rd
Kalispell, MT 59901
Phone (406) 300-4847

1902 120th Pl SE
Ste 201
Everett, WA 98208
Phone (425) 258-7602

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1043899081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY STE 320",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541140",
            "telephone_number": "669-210-2563",
            "fax_number": "949-264-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY STE 320",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541140",
            "telephone_number": "669-210-2563",
            "fax_number": "949-264-9261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Lower Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599017921",
            "country_code": "US",
            "telephone_number": "669-250-6040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1902 120th Pl SE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086292",
            "country_code": "US",
            "telephone_number": "425-258-7602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARD",
        "first_name": "CHARLOTTE",
        "middle_name": "LACE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "32466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.