Charles S Fleckles, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A22679 Issued in CA

Practice address

240 Tamal Vista Blvd
Suite 162
Corte Madera, CA 94925

Phone

(415) 927-1444

Fax

(415) 927-1646

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396753232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 TAMAL VISTA BLVD",
            "address_2": "SUITE 162",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "94925",
            "telephone_number": "415-927-1444",
            "fax_number": "415-927-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 TAMAL VISTA BLVD",
            "address_2": "SUITE 162",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "94925",
            "telephone_number": "415-927-1444",
            "fax_number": "415-927-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECKLES",
        "first_name": "CHARLES",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A22679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill H. Engelbrecht, LMFT
• Farahkhan,MD,Inc
• Sheva L Feld, PHD
• Chelsea Fenton
• Brenda L. Fishleder, L.C.S.W., B.C.D.
• Forge Physical Therapy Professional Corporation
• Marissa Forrest
• Sarah Fowler
• Susan Terese Fox, DACM, L.AC.
• David Jay Frankel, PH.D.

• Psychiatry Physician in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.