Individual provider Active NPI

Charles Eric Folkers, PH.D.

  • Clinical Psychologist
  • Pensacola, FL
National Provider Identifier
1407820277
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY 6882 Issued in FL
Practice address
216 S Tarragona St
Pensacola, FL 32502-6509
Phone
(850) 469-1111
Fax
(850) 469-1111
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY 6882 FL Primary

Addresses

Primary practice location

216 S Tarragona St
Pensacola, FL 32502-6509

Mailing address

5449 W Spencer Field Rd
Pace, FL 32571-9379
Phone (850) 994-7872

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1407820277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 W SPENCER FIELD RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719379",
            "telephone_number": "850-994-7872",
            "fax_number": "850-469-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S TARRAGONA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325026509",
            "telephone_number": "850-469-1111",
            "fax_number": "850-469-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKERS",
        "first_name": "CHARLES",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 6882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.