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C JESSE CARLOCK PH D & ASSOCIATES
NPI 1801994199
Psychologist - Clinical in Dayton, OH

Active since September 20, 2006
1105 WATERVLIET AVE, DAYTON, OH 45420(937) 256-0500(937) 256-2136 Get Directions Write a Review

NPPES record last updated: October 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About C Jesse Carlock Ph D & Associates NPPES

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

C JESSE CARLOCK PH D & ASSOCIATES (NPI 1801994199) is a healthcare organization registered as a clinical in Dayton, Ohio and active in the NPI registry since September 2006. The organization lists Charlene Jesse Carlock, Owner /psychologist, as its authorized official.

NPPES Registry Identity

NPI1801994199
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameC JESSE CARLOCK PH D & ASSOCIATES
Location Address1105 WATERVLIET AVEDayton, OH 45420
Mailing Address1105 Watervliet AveDayton, OH 45420 · (937) 256-0500 · Fax (937) 256-2136
Phone(937) 256-0500
Fax(937) 256-2136
Organization SubpartNo
Authorized OfficialCharlene Jesse CarlockOwner /psychologist · (937) 256-0500
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 13, 2009
✔ NPI 1801994199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1105 WATERVLIET AVE, Dayton, OH 45420
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Other Identifiers 3

Medicare PINCH9316641
Medicare PINCH9316642
Other=========00OH · Bwc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 2

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

KATHLEEN D GLAUS PHD, PSYD
Psychologist (Clinical)
1105 WATERVLIET AVE
DAYTON, OH 45420
Montgomery County (937) 256-0500
MS. CHARLENE JESSE CARLOCK PHD
Psychologist
1105 WATERVLIET AVE
DAYTON, OH 45420
Montgomery County (937) 256-0500

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 C Jesse Carlock Ph D & Associates's NPI number?

The NPI number for C Jesse Carlock Ph D & Associates is 1801994199. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is C Jesse Carlock Ph D & Associates located?

C Jesse Carlock Ph D & Associates is located at 1105 Watervliet Ave, Dayton, OH 45420. The listed phone number is (937) 256-0500.

What is C Jesse Carlock Ph D & Associates's specialty?

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

What insurance does C Jesse Carlock Ph D & Associates accept?

Health plans from CareSource list C Jesse Carlock Ph D & Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for C Jesse Carlock Ph D & Associates was last updated on October 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.