JC CHARLIE, INC.


Address: 650 Washington Rd, Suite 130, Pittsburgh, PA 15228-2702
Phone: 4127794131

JC CHARLIE, INC. (NPI# 1245472943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245472943
Entity Type Organization
Organization Name JC CHARLIE, INC.
Practice Address 650 Washington Rd
Suite 130
Pittsburgh
PA 15228-2702
Practice Telephone 4127794131
Mailing Telephone 4127794131
Enumeration Date 2009-03-27
Last Update Date 2009-03-27
Authorized Official Name MS. LISA SUZANNE SCHWARZ (OWNER)
Authorized Official Telephone 4122213211
Authorized Official Credential M.ED
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PS-007378-L PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA INDIVIDUAL NPI TYPE 1 1316944267 01

Office Location

Street Address 650 WASHINGTON RD
SUITE 130
City PITTSBURGH
State PA
Zip Code 15228-2702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346225893 Lori B Brandt Physical Therapist 650 Washington Rd, St 100, Pittsburgh, PA 15228-2702 2005-12-07
1730257544 James Douglas Petrick Clinical Neuropsychologist 650 Washington Rd, Ste 210, Pittsburgh, PA 15228-2702 2006-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1154655694 Merrie Dorothea Cousins Pediatrics 603 Washington Rd Ste 300, Pittsburgh, PA 15228 2009-10-01
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1568538973 Michael S Friedlander Social Worker 673 Washington Rd, Pittsburgh, PA 15228 2006-11-28
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City PITTSBURGH
Zip Code 15228

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Dataset Information

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.

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