Individual provider Active NPI

Charli Doyle

  • Behavior Analyst
  • Wichita Falls, TX
National Provider Identifier
1154727428
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0-14-6199 Issued in TX
Practice address
1800 Rose St
Wichita Falls, TX 76301-4219
Phone
(940) 322-9456
Fax
(940) 723-4490
NPI assigned
Nov 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0-14-6199 TX Primary

Addresses

Primary practice location

1800 Rose St
Wichita Falls, TX 76301-4219

Mailing address

1808 Rose St
Wichita Falls, TX 76301-4219
Phone (940) 322-9456

Other identifiers 1

IdentifierTypeStateIssuer
9403229456OtherPHONE NUMBER

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": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1154727428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ROSE ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014219",
            "telephone_number": "940-322-9456",
            "fax_number": "940-322-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ROSE ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014219",
            "telephone_number": "940-322-9456",
            "fax_number": "940-723-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "CHARLI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "0-14-6199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE NUMBER",
            "identifier": "9403229456",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.