Charles R. Myers, PH. D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

048.0000691 Issued in VT

Practice address

30 Airport Rd
South Burlington, VT 05403-6432

Phone

(802) 658-0040

Fax

(802) 658-0216

NPI assigned

Aug 31, 2017

Last updated

Jul 21, 2022By 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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Nfi Vermont, Inc

  • Clinic/Center
  • South Burlington, VT
  • NPI 1497885107
  NPD (past) Authorized official

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669990529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AIRPORT RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036432",
            "telephone_number": "802-658-0040",
            "fax_number": "802-658-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AIRPORT RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036432",
            "telephone_number": "802-658-0040",
            "fax_number": "802-658-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VT",
            "license": "048.0000691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VT BOARD OF PSYCHOLOGICAL EXAMINERS PSYCHOLOGIST -DOCTORATE",
            "identifier": "048.0000691",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Mumford, LICSW
• Robert L. Munger, M.A., LCMHC
• Charles Cesare Murdock, LIC.AC.
• Catharine Ashley Muskus, APRN, BC
• Evan Musman, D.O.
• Rebecca A Nagle, NP
• Nancy Carlson Fisher MD PC
• National Seating & Mobility, Inc.
• Nathaniel Jonathan Nelms, M.D.
• Dennis Lynn Nelson, D.D.S.

• Clinical Child & Adolescent Psychologist in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Child & Adolescent Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.