Individual provider Active NPI

Charles A Howard, PHD, ABPP-CL

  • Clinical Psychologist
  • Greeley, CO
National Provider Identifier
1821086398
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2124 Issued in CO
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

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Cheyenne Regional Physicians Group LLCGroup PAC ID 2961403639, 101 clinicians

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

LicenseStateTypeSpecialty
695WYMDChiropractor
2124COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Regional Physicians Group, LLC CurrentSince Aug 1, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.