Charles A Giraud

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6362009417 Issued in MI

Practice address

220 S Main St
Royal Oak, MI 48067-2676

Phone

(767) 224-8213

NPI assigned

Feb 7, 2021

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1700478112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 OAK ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801742",
            "telephone_number": "313-354-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672676",
            "telephone_number": "767-224-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Albert Sabin Way",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452292838",
            "country_code": "US",
            "telephone_number": "513-558-5823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRAUD",
        "first_name": "CHARLES",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-07",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6362009417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Gingell, MD
• Anne Giordano, LMT
• Danielle Giordano
• Jo-Ann M Giordano, PH.D.
• Megan Michelle Giorlando
• Michael P Girdler, DO
• Saavia Girgla, M.D.
• Mark Giska, M.D.
• Stacy Gissal, LPN
• Yevgeniy Gladkiy, MD

• Psychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.