Charles Arthur Ahern

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY16295 Issued in CA

Practice address

26485 Carmel Rancho Blvd Ste 4
Carmel, CA 93923-8706

Phone

(510) 219-7774

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1083336200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223835",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939223835",
            "telephone_number": "510-219-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26485 CARMEL RANCHO BLVD STE 4",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238706",
            "telephone_number": "510-219-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN",
        "first_name": "CHARLES",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY16295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Sue Abernethy, LMFT
• Mercedes M. Abluton, M.S. P.T.
• Fuad Al Qudsi
• Jessitasinghna Albert Messiah Dhas, MD
• Alejandro F Centurion MD Inc
• Jennifer Lynn Allen, L.M.F.T., A.T.R.-B.C
• Amy Elizabeth Altshuler, PT

• Clinical Neuropsychologist in Carmel, CA
• Providers in Carmel, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.