Active NPI
Charles Powell, PH.D.
- Psychologist
- Casper, WY
National Provider Identifier
1396981833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 215
- Practice address
- 2435 King Blvd Ste 313
Casper, WY 82604-3169 - Phone
- (307) 462-4876
- NPI assigned
- Jan 6, 2009
- 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 | 215 | WY | Primary |
Addresses
Primary practice location
2435 King Blvd Ste 313
Casper, WY 82604-3169
Mailing address
2435 King Blvd Ste 313
Casper, WY 82604-3169
Phone (307) 462-4876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
940 E 3Rd St
Suite 104
Casper, WY 82601-3200
Phone (307) 462-4876
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Behavioral Health, LLC | Past | Accepting new patients | |
| Rocky Mountain Behavioral Healthcare, LLC | Psychologist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Casper, WY
- NPI 1851624662
-
- Psychiatric/Mental Health Nurse Practitioner
- Casper, WY
- NPI 1295220242
-
- Professional Counselor
- Casper, WY
- NPI 1386915528
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1396981833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2435 KING BLVD STE 313",
"city": "CASPER",
"state": "WY",
"postal_code": "826043169",
"telephone_number": "307-462-4876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 KING BLVD STE 313",
"city": "CASPER",
"state": "WY",
"postal_code": "826043169",
"telephone_number": "307-462-4876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WY",
"license": "215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.