MS. CHARLENE JESSE CARLOCK PHD
NPI 1902904295
Psychologist 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: February 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Charlene Jesse Carlock Phd NPPES

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

MS. CHARLENE JESSE CARLOCK PHD (NPI 1902904295) is an individual psychologist in Dayton, Ohio, licensed in Ohio (2754) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1902904295
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. CHARLENE JESSE CARLOCKCredential: PHD
Location Address1105 WATERVLIET AVEDayton, OH 45420
Mailing Address1105 Watervliet AveDayton, OH 45420 · (937) 256-0500 · Fax (937) 256-2136
Fax(937) 256-2136
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 18, 2008
NPI 1902904295 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 OH · 2754
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.
1105 WATERVLIET AVE, Dayton, OH 45420

Other Names 1

Professional Name (2)C Jesse Carlock Phd

Other Identifiers 3

Other000000395770Anthem
Medicare PINCACP08283
Medicare PINCACP08284

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.

Psychologist (Clinical)
1105 WATERVLIET AVE
DAYTON, OH 45420
Psychologist (Clinical)
1105 WATERVLIET AVE
DAYTON, OH 45420

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 Charlene Carlock's NPI number?

The NPI number for Charlene Carlock is 1902904295. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as C Jesse Carlock Phd.

Where is Charlene Carlock located?

Charlene Carlock practices at 1105 Watervliet Ave, Dayton, OH 45420. The listed phone number is (937) 256-0500.

What is Charlene Carlock'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 Charlene Carlock was last updated on February 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.