Individual provider Active NPI

Dimitra Charisi

  • Behavior Analyst
  • San Jose, CA
National Provider Identifier
1619821329
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
945 Foxchase Dr Apt 519
San Jose, CA 95123-1173
Phone
(408) 917-0311
NPI assigned
Feb 21, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X CA Primary

Addresses

Primary practice location

945 Foxchase Dr Apt 519
San Jose, CA 95123-1173

Mailing address

945 Foxchase Dr Apt 519
San Jose, CA 95123-1173
Phone (408) 917-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1771632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1619821329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 FOXCHASE DR APT 519",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231173",
            "telephone_number": "408-917-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 FOXCHASE DR APT 519",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231173",
            "telephone_number": "408-917-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARISI",
        "first_name": "DIMITRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-21",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; 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.