Charles Larson Alexander, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

15020 S Ravinia Ave
Orland Park, IL 60462-3166

Phone

(708) 873-9059

Fax

(708) 428-4504

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Counseling Institute

  • Professional Counselor
  • South Holland, IL
  • NPI 1790981934
  NPD (past)
• Jody Reed, SC

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1962438242
  NPD (past)
• King Community Mental Health Center Corp

  • Neurology Physician
  • Chicago, IL
  • NPI 1003056557
  NPD (past)
• Living With Purpose Inc

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1619102043
  NPD (past)
• Roueen Rafeyan MD LTD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1508048414
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1003859554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19114 JONATHAN LN",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304412",
            "telephone_number": "773-457-3303",
            "fax_number": "708-428-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15020 S RAVINIA AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623166",
            "telephone_number": "708-873-9059",
            "fax_number": "708-428-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CHARLES",
        "middle_name": "LARSON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Albrecht, DPT
• Alden Orland Park Rehabilitation and Health Care Center, Inc.
• Alden-Orland Park Rehabilitation and Health Care Center, Inc.
• Gabrielle Ale
• Enas Zaki Alereifej, BA, MST
• Align Pelvic Therapy
• Alinea Health Center LLC
• Yaseen Alkaddoumi, M.D.
• Ahmad Alkaddour, M.D.
• Susan E Alliss, PTA

• Clinical Psychologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.