Individual provider Active NPI

Charles Parker Windham, MD

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1306058540
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
92785 Issued in FL
Practice address
1695 NW 9 Ave
Miami, FL 33136
Phone
(305) 355-7777
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30145 CT
Psychiatry Physician 2084P0800X 036134091 IL
Psychiatry Physician 2084P0800X 92785 FL Primary

Addresses

Primary practice location

1695 NW 9 Ave
Miami, FL 33136

Mailing address

1695 NW 9 Ave
Miami, FL 33136
Phone (305) 355-7777

Other practice location 1

540 Litchfield St
Torrington, CT 06790-6679
Phone (972) 449-0540

Other identifiers 1

IdentifierTypeStateIssuer
2742951MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, VA, AZ, PA, ID, CT, VT, CO, NH, MA, MI, NC, AR, TX, NM, NJ, CA, IA, NE, LA, SC, MD, TN, AL, MO26 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 26

Enrollment IDStateProvider typePAC IDDetails
I20060110001073 FL Practitioner - Psychiatry 5799708244 Reassigns benefits to 3 organizations
I20210308001516 IL Practitioner - Psychiatry 5799708244 Reassigns benefits to 6 organizations
I20230714002824 VA Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20230718001971 AZ Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20230803004282 PA Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20240906004025 ID Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20241112002990 CT Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20241112003317 VT Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20241113002291 CO Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20241113002466 NH Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20241113002629 MA Practitioner - Psychiatry 5799708244 Reassigns benefits to 2 organizations
I20241114001172 MI Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20241126001067 NC Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20241126004367 AR Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20241127002282 TX Practitioner - Psychiatry 5799708244 Reassigns benefits to 2 organizations
I20241127002569 NM Practitioner - Psychiatry 5799708244 Reassigns benefits to 2 organizations
I20241127004323 NJ Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20250110000880 CA Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20250122002798 IA Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20250206000232 NE Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20250723003723 LA Practitioner - Psychiatry 5799708244 Reassigns benefits to 2 organizations
I20251112001613 SC Practitioner - PsychiatryPractitioner - Neurology 5799708244 Reassigns benefits to 1 organization
I20251215002223 MD Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20251226000652 TN Practitioner - PsychiatryPractitioner - Neurology 5799708244 Reassigns benefits to 1 organization
I20251231000314 AL Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization
I20260331000322 MO Practitioner - Psychiatry 5799708244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

Canton, MA 02021
Phone (972) 449-0540

MC Lean, VA 22101
Phone (972) 449-0450

Indian Land, SC 29707
Phone (972) 449-0540

San Mateo, CA 94402
Phone (972) 449-0540

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (972) 449-0540

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (972) 449-0540

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (972) 449-0540

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (972) 449-0540

1000 36TH St
Vero Beach, FL 32960-4862
Phone (972) 449-0540

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (972) 449-0540

10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (972) 449-0540

10594 Royal Cypress Way
Orlando, FL 32836-6529
Phone (972) 449-0540

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (972) 449-0540

13855 E 14TH St
San Leandro, CA 94578-2611
Phone (972) 449-0540

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (972) 449-0540

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (972) 449-0540

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (972) 449-0540

20 York St
New Haven, CT 06510-3220
Phone (972) 449-0540

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (972) 449-0540

200 SE Hospital Ave
Suite 2346
Stuart, FL 34994-2346
Phone (972) 449-0540

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (972) 449-0540

24 Hospital Ave
Danbury, CT 06810-6099
Phone (972) 449-0540

2400 N Rockton Ave
Rockford, IL 61103-3655
Phone (815) 971-5000

2525 Court Dr
Gastonia, NC 28054-2140
Phone (972) 449-0540

27200 Calaroga Ave
Hayward, CA 94545-4339
Phone (972) 449-0540

Hospital & facility affiliations

  • Mercyhealth Hospital & Physician Clinic-Crystal la Hospital, Crystal Lake, IL, CCN 140308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
92785FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood Healthcare LP CurrentSince Dec 18, 2025 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation Psychiatry CurrentSince Aug 11, 2025 Accepting new patients
Forefront-Rush Medical Service PA Psychiatry CurrentSince Aug 11, 2025 Accepting new patients
Shannon Clinic CurrentSince Nov 21, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 14, 2021 Accepting new patients
St. Vincent Hospital CurrentSince Sep 23, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 14, 2021 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Access Telecare California, P.C. Psychiatry CurrentSince Feb 1, 2023 Accepting new patients
St. Vincent Hospital CurrentSince Sep 23, 2024 Accepting new patients
Forefront Telecare Inc Psychiatry CurrentSince Aug 3, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Jan 14, 2021 Accepting new patients
Ap US 14, PA PastSince Oct 15, 2023 Accepting new patients

Locations

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

45 School St
Ste 202
Boston, MA 02108
Phone (908) 731-0819

1012 Marquez Pl
Unit 106B
Santa Fe, NM 87505
Phone (505) 470-8132

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

Interoperability endpoints

  • Direct secure messaging: cwindham438283@direct.bilh.masshiway.net
  • Direct secure messaging: cwindham21773@direct.svmh.com

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1306058540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NW 9 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-355-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 NW 9 AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136",
            "telephone_number": "305-355-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Litchfield St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067906679",
            "country_code": "US",
            "telephone_number": "972-449-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "CHARLES",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "30145",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036134091",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "92785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2742951",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.