Active NPI
Charles H. Brown Jr., PH.D.
- Clinical Psychologist
- Charlotte, NC
National Provider Identifier
1306041991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 726
- Practice address
- 1332 Harding PL
Charlotte, NC 28204-2922 - Phone
- (704) 333-2988
- Fax
- (704) 333-3102
- NPI assigned
- Jun 15, 2007
- Last updated
- Sep 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 726 | NC | |
| Clinical Psychologist | 103TC0700X | 726 | NC | Primary |
| Exercise & Sports Psychologist | 103TE1100X |
Addresses
Primary practice location
1332 Harding PL
Charlotte, NC 28204-2922
Mailing address
769 Magnolia Ave
Charlotte, NC 28203-5936
Phone (704) 333-5997
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 |
|---|---|---|---|
| 726 | NC | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306041991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 MAGNOLIA AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035936",
"telephone_number": "704-333-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 HARDING PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042922",
"telephone_number": "704-333-2988",
"fax_number": "704-333-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CHARLES",
"middle_name": "H.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "726",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "726",
"primary": true
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.