Active NPI
Charlene J Vetter
- Counseling Psychologist
- Buffalo, NY
National Provider Identifier
1316513153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 018979-1
- Practice address
- 105 Brinton St
Buffalo, NY 14214-1118 - Phone
- (716) 245-5207
- NPI assigned
- Jun 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 018979-1 | NY | Primary |
Addresses
Primary practice location
105 Brinton St
Buffalo, NY 14214-1118
Mailing address
105 Brinton St
Buffalo, NY 14214-1118
Phone (716) 553-8002
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018979-1 | NY | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1316513153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BRINTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141118",
"telephone_number": "716-553-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BRINTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141118",
"telephone_number": "716-245-5207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VETTER",
"first_name": "CHARLENE",
"middle_name": "J",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NY",
"license": "018979-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.