Active NPI
Charles Lawrence Field, PH.D.
- Psychologist
- South Windsor, CT
National Provider Identifier
1568528859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001574
- Practice address
- 469 Buckland Rd
Suite 106
South Windsor, CT 06074-3737 - Phone
- (860) 644-6610
- Fax
- (860) 648-9232
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 001574 | CT | Primary |
Addresses
Primary practice location
469 Buckland Rd
Suite 106
South Windsor, CT 06074-3737
Mailing address
469 Buckland Rd
Suite 106
South Windsor, CT 06074-3737
Phone (860) 644-6610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150611002775 | CT | Practitioner - Clinical Psychologist | 1052632338 | Practice locations: South Windsor, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1574 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 001574 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568528859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 BUCKLAND RD",
"address_2": "SUITE 106",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743737",
"telephone_number": "860-644-6610",
"fax_number": "860-648-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 BUCKLAND RD",
"address_2": "SUITE 106",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743737",
"telephone_number": "860-644-6610",
"fax_number": "860-648-9232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELD",
"first_name": "CHARLES",
"middle_name": "LAWRENCE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "001574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.