What is Charles Pengra's NPI number?

Charles Pengra's National Provider Identifier (NPI) is 1093738619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Charles Pengra's specialty?

Charles Pengra is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).

Where is Charles Pengra located?

Charles Pengra's practice location on file with NPPES is 722 Spring St, Santa Rosa, CA 95404-3902.

What is Charles Pengra's phone number?

The practice phone number listed in the NPPES registry for Charles Pengra is (707) 583-2360.

Is Charles Pengra's NPI active?

Yes — Charles Pengra's NPI (1093738619) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Charles Pengra, PH.D.

NPI 1093738619 · Psychologist · Santa Rosa, CA

Charles Pengra, PH.D. is a Psychologist provider in Santa Rosa, CA (NPI 1093738619).

Provider details

NPI number: 1093738619
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: Yes
License: PSY 6754 (CA)

Specialties & taxonomies

PsychologistPrimary103T00000XLicense PSY 6754 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

722 Spring St

Ste. 1

Santa Rosa, CA 95404-3902

Phone: (707) 583-2360

Fax: (707) 544-0825

Street-level locationGet directions

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Mailing address