Charlene A Carter, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

575-057 Issued in WI

Practice address

250 N Sunny Slope Rd
Suite 290
Brookfield, WI 53005-4809

Phone

(262) 754-9460

Fax

(262) 754-9468

NPI assigned

Jul 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellness West LLCGroup PAC ID 4789052820, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellness West LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1306569629
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750301727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SUNNY SLOPE RD",
            "address_2": "SUITE 290",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054809",
            "telephone_number": "262-754-9460",
            "fax_number": "262-754-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N SUNNY SLOPE RD",
            "address_2": "SUITE 290",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054809",
            "telephone_number": "262-754-9460",
            "fax_number": "262-754-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHARLENE",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "575-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39074100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Carpenter-Hileman
• Corey Carr, M.D.
• Diane Rose Carr, LCSW
• Donald J Carr, MD
• Patricia Michelle Carrington, LPC
• Saraann Carter
• Emma Carufel
• Vanessa Casas Garcia
• Jane Casseus, LCSW.CSAC
• Gayle Jean Caya, PT

• Clinical Psychologist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Clinical Psychologist in Wisconsin

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.