Individual provider Active NPI

Marjorie Helen Charlop, PH.D.

  • Behavior Analyst
  • Claremont, CA
National Provider Identifier
1861730137
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
PSY 9238 Issued in CA
Practice address
850 Columbia Ave
Psychology Department/Claremont McKenna College
Claremont, CA 91711-3901
Phone
(909) 621-8598
Fax
(909) 621-8419
NPI assigned
Jan 22, 2013
Last updated
Jan 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X PSY 9238 CA Primary
Psychologist 103T00000X PSY 9238 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY 9238 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY 9238 CA
Family Psychologist 103TF0000X PSY 9238 CA
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY 9238 CA

Addresses

Primary practice location

850 Columbia Ave
Psychology Department/Claremont McKenna College
Claremont, CA 91711-3901

Mailing address

850 Columbia Avenue
Psychology Department/Claremont McKenna College
Claremont, CA 91711
Phone (909) 621-8598

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 9238CAMDFamily Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1861730137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA AVENUE",
            "address_2": "PSYCHOLOGY DEPARTMENT/CLAREMONT MCKENNA COLLEGE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "91711",
            "telephone_number": "909-621-8598",
            "fax_number": "909-621-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLUMBIA AVE",
            "address_2": "PSYCHOLOGY DEPARTMENT/CLAREMONT MCKENNA COLLEGE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113901",
            "telephone_number": "909-621-8598",
            "fax_number": "909-621-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLOP",
        "first_name": "MARJORIE",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "PSY 9238",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 9238",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY 9238",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY 9238",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY 9238",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY 9238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.