DR. BRIAN GARY CHARLESWORTH (NPI# 1447303169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447303169 |
| Entity Type | Individual |
| Full Name | DR. BRIAN GARY CHARLESWORTH |
| Credential | PHD |
| Practice Address |
4441 E Kings Canyon Rd Fresno CA 93702-3604 |
| Mailing Address |
42100 Winchester Way Coarsegold CA 93614-9654 |
| Practice Telephone | 5594534099 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15787 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4441 E KINGS CANYON RD |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770538001 | County of Fresno | Clinic/Center | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2006-05-24 |
| 1912505215 | Darlene Garcia Alvarez | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-10-09 |
| 1134736606 | Abigail Coronado | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-09-28 |
| 1659983906 | Lauren Michelle Spade | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-08-18 |
| 1952912461 | Elesia Faye Evans | Registered Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-08-10 |
| 1457978553 | Fresno County Department of Behavioral Health | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-06 |
| 1194342477 | Kalisha Goodwin | Student in an Organized Health Care Education/Training Program | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
| 1285251512 | Adrienne Quesada Guzman | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
| 1942827241 | Christina Nouanesymanivanh Navarro I | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-02 |
| 1588281968 | Briana Elyse Pedro | Licensed Vocational Nurse | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096121 | Amy Mouanoutoua | Psychologist | 2109 W Bullard Ave Ste 121, Fresno, CA 93711-1258 | 2020-02-23 |
| 1407378771 | Robert David Wells | Psychologist | 1100 W Shaw Ave Ste 134, Fresno, CA 93711-3708 | 2017-07-08 |
| 1316474026 | Devin Kowalczyk | Psychologist | 1913 N Gateway Blvd, Suite 102, Fresno, CA 93727-1650 | 2017-05-12 |
| 1790153849 | Judy Chang | Psychologist | 4820 N 1st St Ste 103, Fresno, CA 93726-0522 | 2015-09-07 |
| 1215333125 | Robin Fey Sjostrand | Psychologist | 4946 E Yale Ave Ste 103, Fresno, CA 93727-1571 | 2014-11-05 |
| 1689098683 | Julia Schomaker | Psychologist | 5510 N Milburn Ave Apt 215, Fresno, CA 93722-6064 | 2014-02-11 |
| 1912320391 | Leah Leduc | Psychologist | 199 E Cole Ave, Fresno, CA 93720-2034 | 2014-01-21 |
| 1013339985 | Mitchel Casados | Psychologist | 2380 S Sabre Ave, Fresno, CA 93727-8842 | 2014-01-13 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| 1831439140 | Larry Neil Ferguson | Psychologist | 642 E Fremont Ave, Fresno, CA 93710-3939 | 2013-02-22 |
| Find all providers in FRESNO | ||||
Please comment or provide details below to improve the information on DR. BRIAN GARY CHARLESWORTH.
| 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.