Active NPI
Charles Joseph Meade, PH. D.
- Psychologist
- Tacoma, WA
National Provider Identifier
1073588497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 1196
- Practice address
- 2412 N 30TH St
Tacoma, WA 98407-6372 - Phone
- (253) 752-7712
- Fax
- (253) 752-7712
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 1196 | WA | Primary |
Addresses
Primary practice location
2412 N 30TH St
Tacoma, WA 98407-6372
Mailing address
3620 N Washington St
Tacoma, WA 98407-6149
Phone (253) 752-7712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 1196 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073588497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 N WASHINGTON ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984076149",
"telephone_number": "253-752-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 N 30TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984076372",
"telephone_number": "253-752-7712",
"fax_number": "253-752-7712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADE",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PSY 1196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.