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Deactivated NPI 1174855639 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Joseph Pine , PhD

Psychologist • Chino, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Pine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 09, 2010
NPI Deactivation Date August 03, 2017
Total Practice Duration ~7 Years of Practice (2010 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Pine, PhD was a registered Psychologist practicing in Chino, CA. Throughout an active medical career spanning 7 years, Dr. Pine provided care at the practice location at 15180 EUCLID AVE until profile deactivation on 2017-08-03.

Practice Location & Contact Primary Location

Practice Address

15180 Euclid Ave

Chino, CA 917109148

Telephone 9096065000
Fax 9096065001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Chino, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Chino, CA (7695 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License CA PSY7280

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Stephanie Griffone , PhD

Psychologist - Clinical

NPI 1134451735

Doctor of Philosophy (Ph.D.)

Dr. Inga Talbert , PhD

Psychologist - Clinical

NPI 1417289844

Doctor of Philosophy (Ph.D.)

Dr. Darrell Simien , DDS

Dentist - General Practice

NPI 1699952739

Doctor of Dental Surgery

Dr. Carl Fabrizio , PsyD

Psychologist - Clinical

NPI 1740331610

Doctor of Psychology (Psy.D.)

NPI 1922286368

Doctor of Dental Surgery

Dr. Elena Krishtal , PsyD

Psychologist - Clinical

NPI 1922320845

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 03, 2017

Record deactivated on August 03, 2017

NPI Profile Active February 09, 2010

NPI status registered as active in NPPES database

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Updated Practice Location February 09, 2010

Registered at 15180 EUCLID AVE, CHINO, CA 917109148 (Tel: 9096065000)

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Updated Business Mailing Address February 09, 2010

Registered at 15180 EUCLID AVE, CHINO, CA 917109148 (Tel: 9096065000)

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Provider Name / Credentials Updated February 09, 2010

Recorded as CHARLES PINE, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2010

Psychologist (License #PSY7280 in CA)

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Initial NPI Registration & Enumeration February 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174855639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2010
Last Update: February 09, 2010
Deactivation Date: August 03, 2017

Mailing Address

15180 Euclid Ave

Chino, CA 917109148

Phone: 9096065000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.