Charles McCafferty, MD, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

17268 Issued in MN

Legal business name

CHARLES MCCAFFERTY, MD, LLC

Practice address

977 Summit Ave
Saint Paul, MN 55105-3032

Phone

(651) 227-6369

Fax

(651) 227-9545

NPI assigned

Feb 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles McCafferty, MD

Title

Owner

Phone

(651) 227-6369

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen Kelly, MSW, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1255403838
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1003094731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 SUMMIT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053032",
            "telephone_number": "651-227-6369",
            "fax_number": "651-227-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 SUMMIT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053032",
            "telephone_number": "651-227-6369",
            "fax_number": "651-227-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES MCCAFFERTY, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "MCCAFFERTY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-227-6369",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MN",
            "license": "17268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Chara
• Edriss Ali Charaf, MD
• Chokchai Chareandee, MD
• Charles a Keller DDS and Associates
• Charles E Kath DDS PA
• Charles V Burton MD PA
• Margaret Charity Charmoli, PHD
• Charting Your Success LLC
• Nicole M Chase, MD
• James W Chastek, MD

• Adult Mental Health Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.