Charles Le M.D. Peace of Mind Alliances

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CHARLES LE M.D. PEACE OF MIND ALLIANCES

Doing business as

Beautiful Mind Wellness Center

Practice address

4419 47TH St
San Diego, CA 92115-4516

Phone

(619) 929-1605

NPI assigned

Jan 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Charles Nguyen-Thanh Le, MDNPI 1821243759

Title

President

Phone

(619) 929-1605

Specialties & licenses 7

Addresses

Other names 1

• Beautiful Mind Wellness Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Nguyen-Thanh Le, M.D.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1821243759

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624060800000",
    "number": "1205467073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 47TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154516",
            "telephone_number": "619-929-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 47TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154516",
            "telephone_number": "619-929-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES LE M.D. PEACE OF MIND ALLIANCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "NGUYEN-THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-929-1605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful Mind Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beautiful Mind Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chancellor Thomas Charette, PHARM.D., RPH
• Jordan Danielle Charlebois
• Stephanie Charlebois, BCBA
• Neltada Charlemagne, PMHNP
• Charles D Schlesinger Dental Corporation
• Charles N Le Medical Alliance
• Charles N Le, MD
• Charles R. Kossman, M.D., Inc.
• Lena Elizabeth Charles
• Vicki Achan Charles

• Behavior Analyst in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.