Charlotte Modahl, PHD - Psychologist in Cypress, CA

Charlotte Modahl, PHD is a Psychologist - Clinical based in Cypress, California. Charlotte Modahl is licensed to practice in California (license number PSY10375) and her current practice location is 1601 Ball Rd, #304, Cypress, California. She can be reached at her office (for appointments etc.) via phone at (562) 431-8822.

NPI number for Charlotte Modahl is 1205163847 and her current mailing address is 3121 W Coast Hwy, 3a, Newport Beach, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205163847.

Contact Information

Charlotte Modahl, PHD
1601 Ball Rd, #304,
Cypress, CA 90630
(562) 431-8822
(562) 431-8875

Map and Direction




Healthcare Provider's Profile

Full NameCharlotte Modahl
GenderFemale
SpecialityPsychologist - Clinical
Location1601 Ball Rd, Cypress, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205163847
  • Provider Enumeration Date: 11/03/2009
  • Last Update Date: 11/04/2010

Medical Identifiers

Medical identifiers for Charlotte Modahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205163847NPI-NPPES
CP103750OtherMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY10375 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlotte Modahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charlotte Modahl, PHD
3121 W Coast Hwy, 3a,
Newport Beach, CA 92663-4022

Ph: (949) 642-2041
Charlotte Modahl, PHD
1601 Ball Rd, #304,
Cypress, CA 90630

Ph: (562) 431-8822

Reviews and Comments


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