Organization Active NPI

Charles Assad, PH.D.

Doing business as Cape Counseling

  • Psychologist
  • Cape Coral, FL
National Provider Identifier
1932544277
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 7446 Issued in FL
Legal business name
CHARLES ASSAD, PH.D.
Doing business as
Cape Counseling
Practice address
1202 SE 8TH PL
Unit C
Cape Coral, FL 33990-2113
Phone
(239) 772-3488
Fax
(239) 772-3688
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Charles Assad, PH.D.
Title
Sole Proprietor
Phone
(239) 772-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY 7446 FL Primary

Addresses

Primary practice location

1202 SE 8TH PL
Unit C
Cape Coral, FL 33990-2113

Mailing address

1202 SE 8TH PL
Unit C
Cape Coral, FL 33990-2113
Phone (239) 772-3488

Other identifiers 1

IdentifierTypeStateIssuer
AH 796OtherFLMEDICARE PTAN

Other names 1

  • Cape Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1202 SE 8th Pl
Ste C
Cape Coral, FL 33990
Phone (239) 772-3488

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1932544277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 SE 8TH PL",
            "address_2": "UNIT C",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902113",
            "telephone_number": "239-772-3488",
            "fax_number": "239-772-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 SE 8TH PL",
            "address_2": "UNIT C",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339902113",
            "telephone_number": "239-772-3488",
            "fax_number": "239-772-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES ASSAD, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "ASSAD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "239-772-3488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 7446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AH 796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.