Active NPI
Charles N. Zeitler III, PSY.D., CSAT
- Psychologist
- Eldersburg, MD
National Provider Identifier
1689926552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 04809
- Practice address
- 1645 Liberty Rd Ste 104
Eldersburg, MD 21784-6537 - Phone
- (443) 328-6254
- Fax
- (443) 328-6294
- NPI assigned
- Oct 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 04809 | MD | Primary |
Addresses
Primary practice location
1645 Liberty Rd Ste 104
Eldersburg, MD 21784-6537
Mailing address
1857 Stafford CT
Eldersburg, MD 21784-5968
Phone (410) 861-7920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04809 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1689926552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1857 STAFFORD CT",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217845968",
"telephone_number": "410-861-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 LIBERTY RD STE 104",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846537",
"telephone_number": "443-328-6254",
"fax_number": "443-328-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEITLER",
"first_name": "CHARLES",
"middle_name": "N.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PSY.D., CSAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-02",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eldersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.