Individual provider Active NPI

Charles Edward Farrow, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1881614030
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY12615 Issued in CA
Practice address
9340 Carmel Mountain Rd
Suite F
San Diego, CA 92129-2161
Phone
(858) 480-1484
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY12615 CA Primary

Addresses

Primary practice location

9340 Carmel Mountain Rd
Suite F
San Diego, CA 92129-2161

Mailing address

9330 Carmel Mountain Rd Ste F
San Diego, CA 92129-2160
Phone (858) 480-1484

Other practice location 1

10850 Baroque Ln Ste A
San Diego, CA 92124-3029
Phone (619) 267-9257

Other practice location 2

610 Euclid Ave Ste 200
National City, CA 91950-2951
Phone (619) 267-9257

Other identifiers 1

IdentifierTypeStateIssuer
PSY126150MedicaidCA

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced TMS Clinic Inc CurrentSince Apr 11, 2024 Accepting new patients
Farrow Psychological Services, Inc. Current Accepting new patients

Locations

610 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 267-9257

10850 Baroque Ln
Ste A
San Diego, CA 92124
Phone (619) 267-9257

9330 Carmel Mountain Rd
Ste F
San Diego, CA 92129
Phone (858) 480-1484

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1881614030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 CARMEL MOUNTAIN RD STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292160",
            "telephone_number": "858-480-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 CARMEL MOUNTAIN RD",
            "address_2": "SUITE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292161",
            "telephone_number": "858-480-1484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10850 Baroque Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921243029",
            "country_code": "US",
            "telephone_number": "619-267-9257",
            "fax_number": "619-267-9273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Euclid Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502951",
            "country_code": "US",
            "telephone_number": "619-267-9257",
            "fax_number": "619-267-9273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARROW",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY126150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.