JC Charlie, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-007378-L Issued in PA

Legal business name

JC CHARLIE, INC.

Practice address

650 Washington Rd
Suite 130
Pittsburgh, PA 15228-2702

Phone

(412) 779-4131

NPI assigned

Mar 27, 2009

Last updated

Mar 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Suzanne Schwarz, M.ED

Title

Owner

Phone

(412) 221-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1245472943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 WASHINGTON RD",
            "address_2": "SUITE 130",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282702",
            "telephone_number": "412-779-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 WASHINGTON RD",
            "address_2": "SUITE 130",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282702",
            "telephone_number": "412-779-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC CHARLIE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "SCHWARZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-221-3211",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-007378-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI TYPE 1",
            "identifier": "1316944267",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nishanie Keshinie Jayawardena, M.D.
• Andrew Jaye, DO
• Jaywalker Optometry, LLC (2020 Eye Group-Mt. Lebanon Vision Center)
• Jessica Jazinski
• JC Blair Memorial Hospital (Penn Highlands Huntingdon)
• Jervivia Jean Pierre
• Britney Jean
• Lisa Jeannette, RN BSN
• David P Jedlicka, AU.D.
• Jefferson Pain & Rehabilitation Center

• Clinical Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.