Individual provider Active NPI

Charles Alex Raele, M.D.

  • Psychiatry Physician
  • Boynton Beach, FL
National Provider Identifier
1689836660
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME109648 Issued in FL
Practice address
1901 S Congress Ave Ste 300
Boynton Beach, FL 33426-6551
Phone
(561) 330-4557
Fax
(561) 330-4558
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME109648 FL Primary

Addresses

Primary practice location

1901 S Congress Ave Ste 300
Boynton Beach, FL 33426-6551

Mailing address

1901 S Congress Ave Ste 300
Boynton Beach, FL 33426-6551
Phone (561) 330-4557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120327000248 FL Practitioner - Psychiatry 1456511682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Saint Louis University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1901 S Congress Ave
Suite 300
Boynton Beach, FL 33426-6551
Phone (561) 330-4557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME109648FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Mental Health Psychiatry CurrentSince Nov 7, 2011 Accepting new patients

Locations

1901 S Congress Ave
Ste 300
Boynton Beach, FL 33426
Phone (561) 330-4557

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1689836660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CONGRESS AVE STE 300",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266551",
            "telephone_number": "561-330-4557",
            "fax_number": "561-330-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CONGRESS AVE STE 300",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266551",
            "telephone_number": "561-330-4557",
            "fax_number": "561-330-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAELE",
        "first_name": "CHARLES",
        "middle_name": "ALEX",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME109648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.