Active NPI
Charles L Beale, ED.D
- Counseling Psychologist
- Newark, DE
National Provider Identifier
1073636965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 122
- Practice address
- 62 N Chapel St
Suite 203
Newark, DE 19711-2238 - Phone
- (302) 369-9999
- Fax
- (610) 869-4428
- NPI assigned
- Apr 7, 2007
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 122 | DE | Primary |
Addresses
Primary practice location
62 N Chapel St
Suite 203
Newark, DE 19711-2238
Mailing address
508 Ridge Dr
Lincoln University, PA 19352-9012
Phone (610) 869-4436
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122 | DE | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073636965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 RIDGE DR",
"city": "LINCOLN UNIVERSITY",
"state": "PA",
"postal_code": "193529012",
"telephone_number": "610-869-4436",
"fax_number": "610-869-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 N CHAPEL ST",
"address_2": "SUITE 203",
"city": "NEWARK",
"state": "DE",
"postal_code": "197112238",
"telephone_number": "302-369-9999",
"fax_number": "610-869-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEALE",
"first_name": "CHARLES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "DE",
"license": "122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
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.