Charles C Dike, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

039301 Issued in CT

Practice address

Silver Street
Connecticut Valley Hospital
Middletown, CT 06457

Phone

(860) 262-5867

Fax

(860) 262-5850

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Gilead Community Services, Inc.

  • Adult Mental Health Clinic/Center
  • Middletown, CT
  • NPI 1518948025
  NPD (past)
• Staywell Stress Management LLC

  • Clinical Social Worker
  • Madison, CT
  • NPI 1720316581
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811056054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351 SILVER STREET",
            "address_2": "CONNECTICUT VALLEY HOSPITAL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-262-5867",
            "fax_number": "860-262-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SILVER STREET",
            "address_2": "CONNECTICUT VALLEY HOSPITAL",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-262-5867",
            "fax_number": "860-262-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIKE",
        "first_name": "CHARLES",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "039301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna M Dichello, P.T., MMSC
• Chelsea Rose Dicicco, LPC
• Michelle Lee Dicorpo, MS, MFT
• Gary M. Didato, M.D.
• Taryn Marak Digiacomo, RN, FNP-BC
• Ian Limuel Elquiero Dimaandal, MD
• Stephen John Dimaria, RPH, BS
• Paul Arthur Dimmock, B.S.
• Melissa P. Divito, M.S., LPC
• Ashley Dizney

• Psychiatry Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Psychiatry Physician in Connecticut

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.