Active NPI
Robert M Charles, M.DIV.
- Marriage & Family Therapist
- Roxbury Crossing, MA
National Provider Identifier
1063737468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1534 Tremont St
Roxbury Crossing, MA 02120-2929 - Phone
- (617) 306-6812
- Fax
- (617) 718-2724
- NPI assigned
- Mar 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1534 Tremont St
Roxbury Crossing, MA 02120-2929
Mailing address
111 Silver Brook Rd
Milton, MA 02186-5239
Phone (617) 594-0641
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1063737468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SILVER BROOK RD",
"city": "MILTON",
"state": "MA",
"postal_code": "021865239",
"telephone_number": "617-594-0641",
"fax_number": "617-696-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 TREMONT ST",
"city": "ROXBURY CROSSING",
"state": "MA",
"postal_code": "021202929",
"telephone_number": "617-306-6812",
"fax_number": "617-718-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "M.DIV.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roxbury Crossing, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.