CHARIS MAE T. BULOSAN
NPI 1457005076
Psychologist in San Pedro, CA

Active since February 11, 2022
624 W 9TH ST STE 103, SAN PEDRO, CA 90731(310) 775-3843 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2022, Feb 11, 2022 (2 updates tracked since 2022).

About Charis Mae T. Bulosan NPPES

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

CHARIS MAE T. BULOSAN (NPI 1457005076) is an individual psychologist in San Pedro, California and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1457005076
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCHARIS MAE T. BULOSAN
Location Address624 W 9TH ST STE 103San Pedro, CA 90731-3158
Mailing Address624 W 9th St Ste 103San Pedro, CA 90731-3158 · (562) 774-3391
Sole ProprietorYes
Enumeration DateFebruary 11, 2022
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1457005076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
624 W 9TH ST STE 103, San Pedro, CA 90731

Other Providers at the Same Location NPPES 10

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

Marriage & Family Therapist
624 W 9TH ST STE 103
SAN PEDRO, CA 90731
Social Worker (Clinical)
624 W 9TH ST STE 103
SAN PEDRO, CA 90731
Marriage & Family Therapist
624 W 9TH ST STE 103
SAN PEDRO, CA 90731
Marriage & Family Therapist
624 W 9TH ST STE 103
SAN PEDRO, CA 90731
Marriage & Family Therapist
624 W 9TH ST STE 103
SAN PEDRO, CA 90731
Marriage & Family Therapist
624 W 9TH ST STE 103
SAN PEDRO, CA 90731
Social Worker (Clinical)
624 W 9TH ST STE 103
SAN PEDRO, CA 90731
Social Worker (Clinical)
624 W 9TH ST STE 103
SAN PEDRO, CA 90731

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 Charis Mae Bulosan's NPI number?

The NPI number for Charis Mae Bulosan is 1457005076. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Charis Mae Bulosan located?

Charis Mae Bulosan practices at 624 W 9th St Ste 103, San Pedro, CA 90731. The listed phone number is (310) 775-3843.

What is Charis Mae Bulosan'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 Charis Mae Bulosan was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.