Active NPI
Dan R Chartier, PHD
- Psychologist
- Cary, NC
National Provider Identifier
1295829356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1111
- Practice address
- 400 Keisler Dr
Cary, NC 27511-7069 - Phone
- (919) 781-9950
- Fax
- (919) 783-9950
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1111 | NC | Primary |
Addresses
Primary practice location
400 Keisler Dr
Cary, NC 27511-7069
Mailing address
400 Keisler Dr
Cary, NC 27511-7069
Phone (919) 781-9950
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03201 | Other | NC | BCBSNC |
| 75527 | Other | NC | MEDCOST |
| 8903201 | Medicaid | NC |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1295829356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 KEISLER DR",
"city": "CARY",
"state": "NC",
"postal_code": "275117069",
"telephone_number": "919-781-9950",
"fax_number": "919-783-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 KEISLER DR",
"city": "CARY",
"state": "NC",
"postal_code": "275117069",
"telephone_number": "919-781-9950",
"fax_number": "919-783-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARTIER",
"first_name": "DAN",
"middle_name": "R",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "03201",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "75527",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8903201",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.