Individual provider Active NPI

Norma J. Charles, PSY.D.

  • Psychologist
  • Gainesville, FL
National Provider Identifier
1033222377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6984 AND MH7185 Issued in FL
Practice address
1 Fletcher Drive
University of Florida SHCC
Gainesville, FL 32611-7500
Phone
(352) 392-1163
Fax
(352) 846-1030
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6984 AND MH7185 FL Primary

Addresses

Primary practice location

1 Fletcher Drive
University of Florida SHCC
Gainesville, FL 32611-7500

Mailing address

5201 NW 36TH CT
Gainesville, FL 32653-4452
Phone (352) 392-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY6984 AND MH7185FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Itm Group Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033222377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 NW 36TH CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326534452",
            "telephone_number": "352-392-1171",
            "fax_number": "352-846-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FLETCHER DRIVE",
            "address_2": "UNIVERSITY OF FLORIDA SHCC",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326117500",
            "telephone_number": "352-392-1163",
            "fax_number": "352-846-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "NORMA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6984 AND MH7185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.