Individual provider Active NPI

Charles Johannes Most, PSY.D.

  • Clinical Psychologist
  • Phillipsburg, NJ
National Provider Identifier
1619977808
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100217600 Issued in NJ
Practice address
420 Coventry Dr
Phillipsburg, NJ 08865-1978
Phone
(908) 859-5450
Fax
(908) 859-1285
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100217600 NJ Primary
Psychoanalysis Psychologist 103TP0814X 35S100217600 NJ

Addresses

Primary practice location

420 Coventry Dr
Phillipsburg, NJ 08865-1978

Mailing address

420 Coventry Dr
Phillipsburg, NJ 08865-1978
Phone (908) 859-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427001216 NJ Practitioner - Clinical Psychologist 6305885559 Practice locations: Clinton, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35S100217600NJMDPsychoanalysis Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Psych. Care Incoporated PastSince Nov 6, 2007 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1619977808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651978",
            "telephone_number": "908-859-5450",
            "fax_number": "908-859-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651978",
            "telephone_number": "908-859-5450",
            "fax_number": "908-859-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOST",
        "first_name": "CHARLES",
        "middle_name": "JOHANNES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100217600",
            "primary": true
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NJ",
            "license": "35S100217600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.