Stephanie Curleen Charles

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2037 Utica Ave Ste 2
Brooklyn, NY 11234-3234

Phone

(718) 377-7757

Fax

(718) 758-9497

NPI assigned

Jan 25, 2021

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coordinated Behavioral Care Ipa Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1457881443
  NPD (past)

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1487244372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 UTICA AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343234",
            "telephone_number": "929-260-8843",
            "fax_number": "718-758-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 UTICA AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343234",
            "telephone_number": "718-377-7757",
            "fax_number": "718-758-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "STEPHANIE",
        "middle_name": "CURLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shareece Charles, LMSW
• Sherissa Charles, M.D.
• Shirley Charles, ED.D
• Shondelle Charles
• Sophia Charles, RPH
• Tamara Charles
• Tanika Charles, RN
• Tamar Charleus, LMSW
• Charlie Chen DDS PC
• Brocha Charloff, PA

• Peer Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.