Waldeck Charles, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33521 Issued in AZ

Practice address

1400 N Gilbert Rd
Suite H
Gilbert, AZ 85234-2328

Phone

(602) 315-7033

Fax

(480) 813-4534

NPI assigned

Nov 1, 2006

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

Enrolled in AZ

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

University Central del Caribe Escuela de Medicina, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lighthouse Psychiatry LLCGroup PAC ID 0547545824, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: waldeck.charles.1@32088.direct.athenahealth.com

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.

• Lighthouse Psychiatry LLC

  • Psychiatry Physician
  • Gilbert, AZ
  • NPI 1326596719
  Medicare reassignment Care Compare group NPD
• Neuro Focus Center LLC

  • Clinic/Center
  • Gilbert, AZ
  • NPI 1790075208
  Medicare reassignment NPD Authorized official
• The Charles TMS Institute PLLC

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1447145677
  Medicare reassignment NPD
• Neuro Focus Center-West

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1558731794
  NPD Authorized official
• Magellan Health Services of Arizona, Inc

  • Case Management Agency
  • Gilbert, AZ
  • NPI 1194965145
  NPD (past)
• Vo of Arizona, Inc.

  • Clinical Medical Laboratory
  • Glendale, AZ
  • NPI 1447458682
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1689752123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD",
            "address_2": "SUITE H",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342328",
            "telephone_number": "602-315-7033",
            "fax_number": "480-813-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N GILBERT RD",
            "address_2": "SUITE H",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342328",
            "telephone_number": "602-315-7033",
            "fax_number": "480-813-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "WALDECK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "33521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915366",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Channels of Healing Med Clinic & Spa LLC
• Yutt Chantanarung
• Cecilia R Chapman
• Crystal Chappell, MSN, RN
• Chapris Corporation
• Charter Psychiatry LLC
• Deana Lynn Charter, LPC
• Elizabeth Marie Chasco, LPC
• Alisha S Chasey, MS, RD, CNS
• Rachel Chavez, LAMFT

• Psychiatry Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.