Organization Active NPI

Charles T Bachus, PA

  • Clinical Psychologist
  • Princeton, NJ
National Provider Identifier
1427170703
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00150100 Issued in NJ
Legal business name
CHARLES T BACHUS, PA
Practice address
166 Bunn Dr Ste 101
Princeton, NJ 08540-2800
Phone
(609) 921-6899
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Charles Bachus, PHD
Title
President
Phone
(609) 921-6899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 35SI00150100 NJ Primary

Addresses

Primary practice location

166 Bunn Dr Ste 101
Princeton, NJ 08540-2800

Mailing address

6 Wenczel Dr
Lawrenceville, NJ 08648-3155
Phone (609) 921-6899

National Provider Directory

National Provider Directory

Locations

166 Bunn Dr
Ste 101
Princeton, NJ 08540
Phone (609) 683-0002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1427170703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WENCZEL DR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086483155",
            "telephone_number": "609-921-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BUNN DR STE 101",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402800",
            "telephone_number": "609-921-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T BACHUS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "BACHUS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-921-6899",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00150100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.