Active NPI
Marlene Charles, M.D.
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1629011333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 212894
- Practice address
- 451 Clarkson Ave
Kings County Hospital
Brooklyn, NY 11203 - Phone
- (718) 245-5052
- Fax
- (718) 382-5905
- NPI assigned
- Jun 13, 2006
- Last updated
- Mar 19, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 212894 | NY | Primary |
Addresses
Primary practice location
451 Clarkson Ave
Kings County Hospital
Brooklyn, NY 11203
Mailing address
451 Clarkson Ave
R Building 4TH Floor
Brooklyn, NY 11203
Phone (718) 245-5052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
979 Bay St
Suite 3
Staten Island, NY 10305-4903
Phone (917) 830-1838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oleg Katcher MDPC | Past | Accepting new patients | |
| University Group Medical Associates, P.C | Psychiatry | Past | Accepting new patients |
| Our Lady of Mercy Ambulatory Care Center, Inc. | Past | Accepting new patients | |
| The Brookdale Hospital Medical Center | Past | Accepting new patients | |
| Our Lady of Mercy Medical Center | Past | Accepting new patients | |
| Integrated Medical Health Services PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 7
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.
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Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1629011333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 CLARKSON AVE",
"address_2": "R BUILDING 4TH FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-245-5052",
"fax_number": "718-245-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 CLARKSON AVE",
"address_2": "KINGS COUNTY HOSPITAL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-245-5052",
"fax_number": "718-382-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLES",
"first_name": "MARLENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "212894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.