Active NPI
William D. Charmak, PHD
- Clinical Psychologist
- Nashua, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1533
- Practice address
- 19 Tyler St Ste 103
Nashua, NH 03060-2951 - Phone
- (603) 577-5375
- Fax
- (603) 577-5609
- NPI assigned
- Sep 28, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 03296 | MD | |
| Clinical Psychologist | 103TC0700X | 03296 | MD | |
| Counseling Psychologist | 103TC1900X | 03296 | MD | |
| Clinical Psychologist | 103TC0700X | 1533 | NH | Primary |
Addresses
Primary practice location
19 Tyler St Ste 103
Nashua, NH 03060-2951
Mailing address
PO Box 3677
Nashua, NH 03061-3677
Phone (603) 577-7900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152136 | Other | MD | VALUE OPTIONS |
| 5339652 | Other | MD | AETNA |
| 36140013 | Other | MD | CAREFIRST DC |
| 3162004 | Other | MD | UBH/ONE NET/MAMSI |
| 54622502 | Other | MD | CAREFIRST BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600
280 Main St
Nashua, NH 03060-2921
29 Northwest Blvd
Nashua, NH 03063-4068
Phone (603) 402-2070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03296 | MD | MD | Clinical Psychologist |
| 1533 | NH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Counseling Center P.a. | Clinical | Current | Accepting new patients |
| Foundation Medical Partners Inc | Current | Accepting new patients | |
| Foundation Medical Partners Inc. | Current | Accepting new patients | |
| Robert J. Temple, MD PA | Clinical | Past | Accepting new patients |
Locations
5525 Twin Knolls Rd
Ste 327
Columbia, MD 21045
Phone (410) 992-9149
10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600
19 Tyler St
Ste 103
Nashua, NH 03060
Phone (603) 577-3100
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Nashua, NH
- NPI 1033162037
-
- Durable Medical Equipment & Medical Supplies
- Amherst, NH
- NPI 1679921472
-
- Clinical Social Worker
- Columbia, MD
- NPI 1902907447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1710078068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3677",
"city": "NASHUA",
"state": "NH",
"postal_code": "030613677",
"telephone_number": "603-577-7900",
"fax_number": "603-577-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 TYLER ST STE 103",
"city": "NASHUA",
"state": "NH",
"postal_code": "030602951",
"telephone_number": "603-577-5375",
"fax_number": "603-577-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARMAK",
"first_name": "WILLIAM",
"middle_name": "D.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2023-04-24",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MD",
"license": "03296",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "03296",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MD",
"license": "03296",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "1533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "152136",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5339652",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST DC",
"identifier": "36140013",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH/ONE NET/MAMSI",
"identifier": "3162004",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "54622502",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.