Active NPI
Charles H Menzel, MD
- Psychiatry Physician
- Queensbury, NY
National Provider Identifier
1720141443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 128677
- Practice address
- 32 S Western Ave
Queensbury, NY 12804-3323 - Phone
- (518) 743-1557
- Fax
- (518) 743-1557
- NPI assigned
- Dec 18, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 128677 | NY | Primary |
Addresses
Primary practice location
32 S Western Ave
Queensbury, NY 12804-3323
Mailing address
PO Box 596
Glens Falls, NY 12801-0596
Phone (518) 743-1557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1720141443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 596",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128010596",
"telephone_number": "518-743-1557",
"fax_number": "518-743-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 S WESTERN AVE",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128043323",
"telephone_number": "518-743-1557",
"fax_number": "518-743-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENZEL",
"first_name": "CHARLES",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "128677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.