Active NPIIndividual providerSole proprietor

Dr. Marilyn Charles, PHD

Psychologist, Clinical in Stockbridge, Massachusetts

NPI Number1861544801
Practice location
25 Main Street, Stockbridge, MA 01262-0962
Fax
413-298-4020
Last updated
July 8, 2007

Marilyn Charles is a Psychologist, Clinical based in Stockbridge, MA. Marilyn Charles practices in Stockbridge, MA and has the professional credentials of PHD. The NPI Number for Marilyn Charles is 1861544801 and holds a License No. 8495 (MA). The current practice location address for Marilyn Charles is 25 Main Street, Stockbridge, MA 01262-0962 and can be reached out via phone at 413-931-5233 and via fax at 413-298-4020.

Provider Profile Details

NPI Number
1861544801
Provider Name
Marilyn Charles
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
25 Main Street, Stockbridge, MA 01262-0962
Phone Number
413-931-5233
Fax Number
413-298-4020
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 18, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Main Street
Stockbridge, MA 01262-0962
Zip
01262-0962
Phone Number
413-931-5233
Fax Number
413-298-4020
Stockbridge, MA 01262Get directions →

Provider Business Mailing Address Details

Address
25 Main Street
P.o. Box 962
Stockbridge, MA 01262-0962
City
Stockbridge
State
MA
Zip
01262-0962
Phone Number
413-931-5233
Fax Number
413-298-4020

License Information

License Number (1)
8495
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
6301008887
License State (2)
MI
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
071.006822
License State (3)
IL
Taxonomy (3)
Psychologist, Clinical · 103TC0700X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Marilyn Charles, PHD?

The NPI number of Dr. Marilyn Charles, PHD is 1861544801. It was assigned on January 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Marilyn Charles, PHD?

Dr. Marilyn Charles, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 8495.

Where does Dr. Marilyn Charles, PHD practice?

The practice location is 25 Main Street, Stockbridge, MA 01262-0962. The office can be reached at 413-931-5233 (phone) or 413-298-4020 (fax).

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 1861544801 directly on the NPPES registry website.

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