CHARLOTTE DISTEFANO PHD
NPI 1679096101
Psychologist - Clinical in Los Angeles, CA

Q: What is Charlotte Distefano's NPI number?

The NPI number for Charlotte Distefano is 1679096101. It was assigned to this individual provider in the NPPES registry on July 17, 2017. The provider is also known as Charlotte Mucchetti.

Q: What is Charlotte Distefano's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since July 17, 2017

760 WESTWOOD PLZ # 48-240, LOS ANGELES, CA 90095(310) 825-0586 Get Directions Write a Review

NPPES record last updated: July 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charlotte Distefano Phd NPPES

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

CHARLOTTE DISTEFANO PHD (NPI 1679096101) is an individual clinical provider in Los Angeles, California, licensed in California (PSY29280) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1679096101

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameCHARLOTTE DISTEFANOCredential: PHD

Location Address760 WESTWOOD PLZ # 48-240Los Angeles, CA 90095-8353

Mailing Address760 Westwood Plz # A7-461Los Angeles, CA 90095-8353 · (310) 825-8892

Phone(310) 825-0586

Sole ProprietorNo

Enumeration DateJuly 17, 2017

✔ NPI 1679096101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY29280

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PSY29280 (CA)

760 WESTWOOD PLZ # 48-240, Los Angeles, CA 90095

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Other Names 1

Former Name (1)Charlotte Mucchetti

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 Charlotte Distefano's NPI number?

The NPI number for Charlotte Distefano is 1679096101. It was assigned to this individual provider in the NPPES registry on July 17, 2017. The provider is also known as Charlotte Mucchetti.

Where is Charlotte Distefano located?

Charlotte Distefano practices at 760 Westwood Plz # 48-240, Los Angeles, CA 90095. The listed phone number is (310) 825-0586.

What is Charlotte Distefano's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Charlotte Distefano was last updated on July 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.