CHARLES CLARK ERTL PH.D.
NPI 1356375729
Psychologist in San Diego, CA

Active since July 10, 2006
10981 SAN DIEGO MISSION RD, SUITE 114, SAN DIEGO, CA 92108(619) 286-2687(619) 286-2687 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charles Clark Ertl Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES CLARK ERTL PH.D. (NPI 1356375729) is an individual psychologist in San Diego, California, licensed in California (PSY15479) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1356375729
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameCHARLES CLARK ERTLCredential: PH.D.
Location Address10981 SAN DIEGO MISSION RD, SUITE 114San Diego, CA 92108-2448
Mailing Address4852 Lila DrSan Diego, CA 92115-1910 · (619) 286-2687 · Fax (619) 286-2687
Fax(619) 286-2687
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1356375729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY15479
Definition

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.

10981 SAN DIEGO MISSION RD, San Diego, CA 92108

Other Identifiers 1

Medicare ID-Type UnspecifiedCP15479CA · Medicare Provider Number

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Counseling)
10981 SAN DIEGO MISSION RD, STE 114
SAN DIEGO, CA 92108
Psychologist (Clinical)
10981 SAN DIEGO MISSION RD, 114
SAN DIEGO, CA 92108
Case Manager/Care Coordinator
10981 SAN DIEGO MISSION RD, STE 110
SAN DIEGO, CA 92108
Counselor (Mental Health)
10981 SAN DIEGO MISSION RD, SUITE 110
SAN DIEGO, CA 92108
Counselor (Mental Health)
10981 SAN DIEGO MISSION RD, SUITE 110
SAN DIEGO, CA 92108
Counselor (Mental Health)
10981 SAN DIEGO MISSION RD, SUITE 110
SAN DIEGO, CA 92108
Counselor (Mental Health)
10981 SAN DIEGO MISSION RD
SAN DIEGO, CA 92108
Counselor (Mental Health)
10981 SAN DIEGO MISSION RD, SUITE 110
SAN DIEGO, CA 92108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Ertl's NPI number?

The NPI number for Charles Ertl is 1356375729. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Charles Ertl located?

Charles Ertl practices at 10981 San Diego Mission Rd Suite 114, San Diego, CA 92108. The listed phone number is (619) 286-2687.

What is Charles Ertl's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Charles Ertl was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.