Charles B. Goss, D.O., P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CHARLES B. GOSS, D.O., P.C.

Practice address

28100 Grand River Ave
Suite 102
Farmington Hills, MI 48336-5967

Phone

(248) 471-5700

Fax

(248) 851-5515

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles B. Goss, D.O.

Title

President

Phone

(248) 471-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1306903109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28100 GRAND RIVER AVE",
            "address_2": "SUITE 102",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365967",
            "telephone_number": "248-471-5700",
            "fax_number": "248-851-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 GRAND RIVER AVE",
            "address_2": "SUITE 102",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365967",
            "telephone_number": "248-471-5700",
            "fax_number": "248-851-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B. GOSS, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-471-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091313 11 00",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "260F338480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britny Charboneau
• Kia Charboneau
• Iran Charbonneau
• Ayah Charkatli
• Charlene V. Williams MD PC
• Jaelynn Charles-Askew
• Osato Charles-Omoregbee
• Annqunette Charles
• Briynna Charles
• Carey Anne Charles, PHD, MA,MA,MA

• Psychiatry Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.