Charles F Misja, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

6929 West 130TH St
Suite 500
Parma HTS, OH 44130-7878

Phone

(440) 842-6867

Fax

(440) 842-8914

NPI assigned

Jun 21, 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

Enrolled in OH

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

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Coast Family FoundationGroup PAC ID 9739191172, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• North Coast Family Foundation

  • Psychologist
  • Middleburg Heights, OH
  • NPI 1013959238
  Medicare reassignment Care Compare group NPD Authorized official
• North Coast Family Foundation

  • Professional Counselor
  • Middleburg Heights, OH
  • NPI 1356718142
  NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245369600000",
    "number": "1851337679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 WEST 130TH ST",
            "address_2": "SUITE 500",
            "city": "PARMA HTS",
            "state": "OH",
            "postal_code": "441307878",
            "telephone_number": "440-842-6867",
            "fax_number": "440-842-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 WEST 130TH ST",
            "address_2": "SUITE 500",
            "city": "PARMA HTS",
            "state": "OH",
            "postal_code": "441307878",
            "telephone_number": "440-842-6867",
            "fax_number": "440-842-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISJA",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiphone Co of Parma Inc
• Richard A. Kren, DDS
• Michael C Misja, PH.D.
• Tynisha Nicole Nation, REGISTERED NURSE
• Pediatric Health Center Inc

• Psychologist in Parma HTS, OH
• Providers in Parma HTS, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.

Verify at the official NPI Registry.