DR. EDWARD ALLISON CHARLESWORTH (PHD) – Clinical Neuropsychologist, NPI 1114142585

DR. EDWARD ALLISON CHARLESWORTH (PHD) is a healthcare provider. based in Houston, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2-2200 (TX). The NPI Number for DR. EDWARD ALLISON CHARLESWORTH (PHD) is 1114142585

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD ALLISON CHARLESWORTH (PHD)
NPI
1114142585
Phone
(281) 469-6395
Address
11407 HYLANDER DR
Enumeration Date
13 April 2007
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814696395
Graduation Year
1980 (46 years ago)
PAC ID
2769604115
Professional Enrollment ID
I20141119001731
Address ID
TX770704462HO10609RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. EDWARD ALLISON CHARLESWORTH (PHD)

  • 11407 HYLANDER DR

    HOUSTON, TX 770701339

    Phone: (281) 469-6395

    Type: Mailing

  • 10609 GRANT RD

    BUILDING B

    HOUSTON, TX 770704429

    Phone: (281) 469-6395

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141119001731IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes14914$0
View full utilization report →

Insurance plans in this area (ZIP 77070)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. EDWARD ALLISON CHARLESWORTH (PHD)?
DR. EDWARD ALLISON CHARLESWORTH (PHD) — NPI 1114142585 — is the standard way to identify this listing.
Can I rely on DR. EDWARD ALLISON CHARLESWORTH (PHD) being an active provider?
As of the registry snapshot, DR. EDWARD ALLISON CHARLESWORTH (PHD) is marked active.
What is DR. EDWARD ALLISON CHARLESWORTH (PHD)'s specialty?
The listing groups DR. EDWARD ALLISON CHARLESWORTH (PHD) with Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. EDWARD ALLISON CHARLESWORTH (PHD)?
DR. EDWARD ALLISON CHARLESWORTH (PHD)'s geographic hint is Houston, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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