Active NPI
Charles A Howard, PHD, ABPP-CL
- Clinical Psychologist
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2124
- Practice address
- 2032 35TH Ave
Ste a, #110
Greeley, CO 80634-3962 - Phone
- (970) 315-1040
- Fax
- (970) 339-4584
- NPI assigned
- Oct 10, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 695 | WY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2124 | CO | |
| Health Psychologist | 103TH0004X | 2124 | CO | |
| Clinical Psychologist | 103TC0700X | 2124 | CO | Primary |
Addresses
Primary practice location
2032 35TH Ave
Ste a, #110
Greeley, CO 80634-3962
Mailing address
2032 35TH Ave
Ste a #110
Greeley, CO 80634-3962
Phone (970) 315-1040
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | choward36719@direct.crmcwy.org | Health Information Exchange (HIE) | Memorial Hospital of Laramie County |
| Direct Messaging Address | choward36719@direct.crmcwy.org | Direct | Memorial Hospital of Laramie County |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190718002313 | WY | Practitioner - Clinical Psychologist | 4688623671 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 House Ave
Suite 507
Cheyenne, WY 82001-3176
Phone (307) 635-2562
4116 Laramie St
Cheyenne, WY 82001-1969
Phone (307) 635-7961
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 695 | WY | MD | Chiropractor |
| 2124 | CO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheyenne Regional Physicians Group, LLC | Current | Accepting new patients | |
| North Colorado Medical Center | Past | Accepting new patients | |
| Transitions Psychology Group LLC | Past | Accepting new patients |
Locations
2301 House Ave
Ste 507
Cheyenne, WY 82001
Phone (307) 635-2562
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
4116 Laramie St
Cheyenne, WY 82001
Phone (307) 634-9311
Interoperability endpoints
- choward36719@direct.crmcwy.org
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.
-
- Psychiatric Hospital Unit
- Greeley, CO
- NPI 1225057656
-
- Professional Counselor
- Greeley, CO
- NPI 1821164187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667865600000",
"number": "1821086398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 35TH AVE",
"address_2": "STE A #110",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343962",
"telephone_number": "970-315-1040",
"fax_number": "970-339-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 35TH AVE",
"address_2": "STE A, #110",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343962",
"telephone_number": "970-315-1040",
"fax_number": "970-339-4584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "CHARLES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD, ABPP-CL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2022-11-08",
"certification_date": "2022-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "695",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CO",
"license": "2124",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CO",
"license": "2124",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "2124",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choward36719@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choward36719@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.