Charles Carlise Edd Psychologist

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

3229 Issued in AZ

Legal business name

CHARLES CARLISE EDD PSYCHOLOGIST

Practice address

2345 E Thomas Rd
Suite 295
Phoenix, AZ 85016-7848

Phone

(602) 622-2933

Fax

(602) 957-3063

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Gasper Carlise, EDD

Title

Psychologist

Phone

(602) 622-2933

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sandra M Graff, ED.D.

  • Psychologist
  • Phoenix, AZ
  • NPI 1609900356
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1497948707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E THOMAS RD",
            "address_2": "SUITE 295",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167848",
            "telephone_number": "602-622-2933",
            "fax_number": "602-957-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E THOMAS RD",
            "address_2": "SUITE 295",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167848",
            "telephone_number": "602-622-2933",
            "fax_number": "602-957-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES CARLISE EDD PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "CARLISE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "GASPER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-622-2933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AZ",
            "license": "3229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chapter 1, Starting Over LLC
• Char-Lee Corporation Dba
• Charanjit Dhillon, MD, PC
• Christina Chariker, LAC
• Charles B Jakobsen
• Charles Dries MD PLLC
• Charles L McCarver MD PC
• Charles R Orozco MD PC
• Charles T Williams MD PC
• Amanda L Charles, PHARMD.

• Public Health or Welfare Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Public Health or Welfare Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.