Charles J.kallick, M.d.,pc
Psychoanalyst in Westport, Connecticut
1902175391- Practice location
- 12 Crooked Mile RD, Westport, CT 06880-1123
- Phone
- 203-226-3685
- Fax
- —
- Last updated
- December 14, 2011
Charles J.kallick, M.d.,pc is a healthcare organization based in Westport, CT. Charles J.kallick, M.d.,pc practices in Westport, CT. The NPI Number for Charles J.kallick, M.d.,pc is 1902175391 and holds a License No. 011345 (CT). The current practice location address for Charles J.kallick, M.d.,pc is 12 Crooked Mile RD, Westport, CT 06880-1123 and can be reached out via phone at 203-226-3685.
Provider Profile Details
- NPI Number
- 1902175391
- Provider Name
- Charles J.kallick, M.d.,pc
- Provider Entity Type
- Organization
- Address
- 12 Crooked Mile RD, Westport, CT 06880-1123
- Phone Number
- 203-226-3685
- Primary Taxonomy
- Psychoanalyst · 102L00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Charles John Kallick, MD · President · 203-226-3685
- Provider Enumeration Date
- December 14, 2011
- Last Update Date
- December 14, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Crooked Mile RD
Westport, CT 06880-1123 - City
- Westport
- State
- Connecticut
- Zip
- 06880-1123
- Phone Number
- 203-226-3685
Provider Business Mailing Address Details
- Address
- 12 Crooked Mile RD
Westport, CT 06880-1123 - City
- Westport
- State
- CT
- Zip
- 06880-1123
- Phone Number
- 203-226-3685
License Information
- License Number
- 011345
- License State
- CT
- Taxonomy
- Psychoanalyst · 102L00000X · 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 J.kallick, M.d.,pc?
The NPI number of Charles J.kallick, M.d.,pc is 1902175391. It was assigned on December 14, 2011 and is currently active in the NPPES registry.
What is the specialty of Charles J.kallick, M.d.,pc?
Charles J.kallick, M.d.,pc is registered under the primary taxonomy Psychoanalyst (code 102L00000X), licensed in CT under license number 011345.
Where does Charles J.kallick, M.d.,pc practice?
The practice location is 12 Crooked Mile RD, Westport, CT 06880-1123. The office can be reached at 203-226-3685 (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 1902175391 directly on the NPPES registry website.