MR. CHARLES TYLER UPTON (NPI# 1104136571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104136571 |
| Entity Type | Individual |
| Full Name | MR. CHARLES TYLER UPTON |
| Credential | LISAC, PLC |
| Practice Address |
721 N. Fourth Ave Tucson AZ 85705 |
| Mailing Address |
1650 E. Fort Lowell Rd Ste 202 Tucson AZ 85719-2378 |
| Practice Telephone | 5202021870 |
| Practice Fax Number | 5202021889 |
| Mailing Telephone | 5203274505 |
| Mailing Fax Number | 5202021889 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC10856 | AZ | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC11260 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386992915 | Charles E Upton | Pharmacist | 14880 Ne 24th St, Redmond, WA 98052-5533 | 2012-08-29 |
| 1992870711 | Charles C Upton | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202 | 2006-11-21 |
| Street Address |
721 N. FOURTH AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386954758 | Joyce Linda Morgan | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
| 1730322678 | Paradigm Clinical | Clinic/Center | 1324 W. Prince Road, Tucson, AZ 85705 | 2009-04-08 |
| Find all providers in zip 85705 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1508490673 | Terrence Hickey | Counselor | 11235 E Sundance Dr, Tucson, AZ 85749-8280 | 2020-02-27 |
| 1568092815 | Travis Anderson | Counselor | 2002 W Anklam Rd, Tucson, AZ 85745-2148 | 2020-01-24 |
| 1740830447 | Let All Thrive, LLC | Counselor | 1580 N Kolb Rd Ste 200, Tucson, AZ 85715-4933 | 2019-09-13 |
| 1316424526 | Wendy Sizer LLC | Counselor | 425 W Paseo Redondo Apt 3b, Tucson, AZ 85701-8258 | 2018-07-20 |
| 1841705043 | Cynthia Miller Potter | Counselor | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2017-12-10 |
| 1447791165 | Juan M. Salgado | Counselor | 7490 S. Camino De Oeste, Tucson, AZ 85757 | 2017-03-14 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1104374255 | Shannon Dexter Petrovich | Counselor | 5855 N Kolb Rd Unit 4208, Tucson, AZ 85750-0991 | 2016-09-19 |
| Find all providers in TUCSON | ||||
Please comment or provide details below to improve the information on MR. CHARLES TYLER UPTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.