Charleanea M. Arellano, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1902 Issued in CO

Legal business name

CHARLEANEA M. ARELLANO, PH.D., LLC

Practice address

12687 Locust Way
Thornton, CO 80602-4664

Phone

(720) 933-0318

Fax

(303) 254-9708

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Charleanea M Arellano, PH.D.

Title

Owner/Managing Member

Phone

(207) 933-0318

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1558847871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12687 LOCUST WAY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806024664",
            "telephone_number": "720-933-0318",
            "fax_number": "303-254-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12687 LOCUST WAY",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806024664",
            "telephone_number": "720-933-0318",
            "fax_number": "303-254-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLEANEA M. ARELLANO, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ARELLANO",
        "authorized_official_first_name": "CHARLEANEA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "207-933-0318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174551089",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Chandonnet, M.S. CCC-SLP
• Diem Nguyen Chang, NP
• Olga E. Chapman, RN
• Ashley S Character, CNM
• Morgana Rain Charboneau, R.N.
• Madeline Charles, MSW
• Randy Chaverri
• Marysol Chavez Mendez
• Alexandria Yvonne Chavez, RD
• Audrey Chavez

• Clinical Psychologist in Thornton, CO
• Providers in Thornton, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.