Charles E Hall IV, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

0101236204 Issued in VA

Practice address

100 Boulders Pkwy
Suite 202
Richmond, VA 23225

Phone

(804) 320-7881

Fax

(804) 560-3474

NPI assigned

May 21, 2007

Last updated

Feb 25, 2010By 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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tucker Psychiatric Clinic Inc.Group PAC ID 9133018922, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charleshall@tpci.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.

• Tucker Psychiatric Clinic Inc.

  • Professional Counselor
  • Richmond, VA
  • NPI 1003911256
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1598973471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BOULDERS PKWY",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23225",
            "telephone_number": "804-320-7881",
            "fax_number": "804-560-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOULDERS PKWY",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23225",
            "telephone_number": "804-320-7881",
            "fax_number": "804-560-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101236204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halfort
• Sobia Hassan Halim, MD
• Haliodx Inc
• Hall Support Services LLC
• Alexandra Mariye Tanaka Hall, DO
• Chelsey Hall, MSOT
• Chrystal Maria Anntwanette Hall
• Daniel Hall, DMD
• Danielle M Hall
• Elizabeth Langford Hall, N.P.

• Child & Adolescent Psychiatry Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Child & Adolescent Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.

Verify at the official NPI Registry.