Active NPI
Rita Damique Charles, MS
- Art Therapist
- Milford, CT
National Provider Identifier
1306448436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 4 Oxford Rd
Milford, CT 06460-3855 - Phone
- (203) 600-8900
- NPI assigned
- Nov 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
4 Oxford Rd
Milford, CT 06460-3855
Mailing address
24 Colony Rd
New Haven, CT 06511-2812
Phone (203) 583-2213
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1306448436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 COLONY RD",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112812",
"telephone_number": "203-583-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 OXFORD RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603855",
"telephone_number": "203-600-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "RITA",
"middle_name": "DAMIQUE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-13",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.