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

Individual provider Psychologist · NPI 1093738619

Dr. Charles William Pengra, PHD is a Psychologist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

722 Spring St Ste 1
Santa Rosa, CA 95404-3902
Phone: (707) 583-2360
Fax: (707) 544-0825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY 6754 (CA)

Record details

NPI number1093738619
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 8, 2007

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