Richard Charles, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT2029 Issued in FL

Practice address

10031 Pines Blvd Ste 248
Pembroke Pines, FL 33024-6180

Phone

(754) 229-5912

Fax

(413) 618-3929

NPI assigned

Sep 27, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: richardcharles@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1568553402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 SW 58TH AVE",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330236131",
            "telephone_number": "305-496-7531",
            "fax_number": "413-618-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 248",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246180",
            "telephone_number": "754-229-5912",
            "fax_number": "413-618-3929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 E Broward Blvd",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333012095",
            "country_code": "US",
            "telephone_number": "954-580-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767474100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter J. Chao, O.D., A.P.
• Carolyn Castle Chapman
• Margarita Ann Charadan
• Florence Charles-Pierre
• Myrtho Charles
• Shawna Charles, DNP
• Sasha Charres
• Charris Rehab Inc
• Jose D Charris, PT
• Nancy Ann Charron-Muskat, PA-C, MMS

• Marriage & Family Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.