Charles A Brake, PHD
Psychologist in Providence, Rhode Island
1558941963- Practice location
- 830 Chalkstone Ave Bldg 14, Providence, RI 02908-4734
- Phone
- 401-273-7100
- Fax
- —
- Last updated
- April 9, 2021
Charles Alexander Brake is a Psychologist based in Providence, RI. Charles Alexander Brake practices in Providence, RI and has the professional credentials of PHD. The NPI Number for Charles Alexander Brake is 1558941963. The current practice location address for Charles Alexander Brake is 830 Chalkstone Ave Bldg 14, Providence, RI 02908-4734 and can be reached out via phone at 401-273-7100.
Provider Profile Details
- NPI Number
- 1558941963
- Provider Name
- Charles Alexander Brake
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 830 Chalkstone Ave Bldg 14, Providence, RI 02908-4734
- Phone Number
- 401-273-7100
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 9, 2021
- Last Update Date
- April 9, 2021
- Certification Date
- April 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 830 Chalkstone Ave Bldg 14
Providence, RI 02908-4734 - City
- Providence
- State
- Rhode Island
- Zip
- 02908-4734
- Phone Number
- 401-273-7100
Provider Business Mailing Address Details
- Address
- 243 Broadway Apt 3
Providence, RI 02903-3068 - City
- Providence
- State
- RI
- Zip
- 02903-3068
License Information
- Taxonomy
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Charles A Brake, PHD?
The NPI number of Charles A Brake, PHD is 1558941963. It was assigned on April 9, 2021 and is currently active in the NPPES registry.
What is the specialty of Charles A Brake, PHD?
Charles A Brake, PHD is registered under the primary taxonomy Psychologist (code 103T00000X).
Where does Charles A Brake, PHD practice?
The practice location is 830 Chalkstone Ave Bldg 14, Providence, RI 02908-4734. The office can be reached at 401-273-7100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558941963 directly on the NPPES registry website.