Charlotte Helene Winters, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11906 Issued in CA

Practice address

1001 Dove St Ste 140
Newport Beach, CA 92660-2846

Phone

(949) 833-7576

Fax

(949) 833-7595

NPI assigned

Nov 3, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740369107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602846",
            "telephone_number": "949-833-7576",
            "fax_number": "949-833-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602846",
            "telephone_number": "949-833-7576",
            "fax_number": "949-833-7595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "CHARLOTTE",
        "middle_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Windham Integrative Medical Clinic
• Windward Way Recovery
• Matthew Eric Wingo, MD
• Linda Prodan Winston, LMFT
• Robert Richard Winter, D.D.S.
• James Leon Winterton, D.D.S
• Danna L Winthrop, MFCT
• David L Wirta, MD
• Garrett Andrew Wirth, M.D.
• Wishmyer Chiropractic and Wellness, Professional Corporation

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.