Active NPI
Charles John Tupper Jr., M.D.
- Psychiatry Physician
- Helena, MT
National Provider Identifier
1700944121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 7477
- Practice address
- 2755 Colonial Dr
Helena, MT 59601-4926 - Phone
- (406) 444-7500
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7477 | MT | Primary |
Addresses
Primary practice location
2755 Colonial Dr
Helena, MT 59601-4926
Mailing address
PO Box 5539
Helena, MT 59604-5539
Phone (406) 444-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0045135 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Texas Medical School at San Antonio, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8700
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.98 of 100
- Quality
- 11.8
- Promoting interoperability
- 74
- Improvement activities
- 0
- Cost
- 82.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7477 | MT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin County Behavioral Health Services | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| San Joaquin Behavioral Health Services | Current | Accepting new patients |
Locations
1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070
1212 N California St
Stockton, CA 95202
Phone (209) 468-8660
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1215028931
-
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tracy, CA
- NPI 1306051370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700944121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5539",
"city": "HELENA",
"state": "MT",
"postal_code": "596045539",
"telephone_number": "406-444-7500",
"fax_number": "406-444-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 COLONIAL DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596014926",
"telephone_number": "406-444-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUPPER",
"first_name": "CHARLES",
"middle_name": "JOHN",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MT",
"license": "7477",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0045135",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.