Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles R Fredericks, PHD

Individual provider Clinical Psychologist · NPI 1902312655

Charles R Fredericks, PHD is a Clinical Psychologist in West Long Branch, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1049 Broadway Ste 2
West Long Branch, NJ 07764-1335
Phone: (732) 222-1100
Fax: (732) 222-1103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 35S100267600 (NJ)

Record details

NPI number1902312655
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 18, 2017
Last updated in NPPESDecember 18, 2017
Mailing address1049 Broadway Ste 2, West Long Branch, NJ 07764-1335

Other providers in West Long Branch