Charles D. Katz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00135100 Issued in NJ

Practice address

43 W Front St
Suite 16
Red Bank, NJ 07701-1624

Phone

(732) 530-9331

Fax

(732) 530-5159

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285764514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 W FRONT ST",
            "address_2": "SUITE 16",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011624",
            "telephone_number": "732-530-9331",
            "fax_number": "732-530-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 W FRONT ST",
            "address_2": "SUITE 16",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011624",
            "telephone_number": "732-530-9331",
            "fax_number": "732-530-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "CHARLES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00135100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund R Kappy, M.D.
• Kar Med NJ PC
• Smita N Kargutkar, M.D.
• Elizabeth Karlinski, LMFT
• Vishwala Kasbekar, M.D.
• Elliot Katz, MSW., LCSW.
• Matthew R. Kaufman, M.D.
• Manpreet Kaur, DDS
• Kathy Rumi Kawaguchi, M.D.
• Ashley Kearns, PA

• Clinical Psychologist in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Clinical Psychologist in New Jersey

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.