NPIMap

Organization Active NPI

Charles Wheaton PHD PA

  • Clinical Psychologist
  • Clearwater, FL
National Provider Identifier
1609041920
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY2942 Issued in FL
Legal business name
CHARLES WHEATON PHD PA
Practice address
2240 Belleair Road
Suite 170
Clearwater, FL 33764-1706
Phone
(727) 535-0468
Fax
(727) 535-2588
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Charles Wheaton, PHDNPI 1730157801
Title
President
Phone
(727) 535-0468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY2942 FL Primary

Addresses

Primary practice location

2240 Belleair Road
Suite 170
Clearwater, FL 33764-1706

Mailing address

2240 Belleair Road
Suite 170
Clearwater, FL 33764-1706
Phone (727) 535-0468

National Provider Directory

National Provider Directory

Locations

2240 Belleair Rd
Ste 170
Clearwater, FL 33764
Phone (727) 535-0468

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1609041920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 BELLEAIR ROAD",
            "address_2": "SUITE 170",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641706",
            "telephone_number": "727-535-0468",
            "fax_number": "727-535-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 BELLEAIR ROAD",
            "address_2": "SUITE 170",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337641706",
            "telephone_number": "727-535-0468",
            "fax_number": "727-535-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES WHEATON PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "WHEATON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-535-0468",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY2942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.