DR. CHARLES ROBERT CHERRY JR. (NPI# 1063566503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063566503 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ROBERT CHERRY JR. |
| Credential | PHD |
| Practice Address |
Suite 128 18111 Prince Philip Dr Olney MD 20832 |
| Mailing Address |
17009 Freedom Way Rockville MD 20853 |
| Practice Telephone | 3017749313 |
| Mailing Telephone | 3017746713 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
00629 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAREFIRST BLUE CROSS | 4899 | 01 | |
| VALUE OPTIONS | 091226 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841835055 | Charles C Cherry | Chiropractor | 9898 Bissonnet #152, Houston, TX 77036 | 2019-11-12 |
| 1043543341 | Charles Wayne Cherry Jr. | Pharmacist | 732 Old Hickory Blvd, Jackson, TN 38305-2440 | 2009-09-17 |
| 1043583065 | Charles W Cherry | Physical Therapist | 296 Randall Rd, Geneva, IL 60134-4203 | 2012-02-22 |
| Street Address |
SUITE 128 18111 PRINCE PHILIP DR |
| City | OLNEY |
| State | MD |
| Zip Code | 20832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443532 | Ludmila Costenco | Behavior Technician | 18218 Fox Chase Cir, Olney, MD 20832 | 2018-07-02 |
| 1912422874 | Shannon Denham Nguy | Nurse Practitioner | 18109 Prince Philip Dr Ste 300, Olney, MD 20832 | 2017-08-11 |
| 1578092904 | Rodney John Bohlmann | Naturopath | 17517 Queen Elizabeth Drive, Olney, MD 20832 | 2017-06-08 |
| 1972999746 | Arooj Babar | Internal Medicine | 18101 Prince Philip Dr Ste 230n, Olney, MD 20832 | 2015-04-08 |
| 1437547684 | Cynthia Ann Cook | Social Worker | 18006 Vintage River Terrace, Olney, MD 20832 | 2014-12-22 |
| 1598165334 | Gedion Haile | Pharmacist | 3110 Onley Sandy Spring Rd, Onley, MD 20832 | 2014-08-29 |
| 1285047902 | Melanie Ann Grady | Family Medicine | 18109 Prince Phillip Drive, Suite B200, Olney, MD 20832 | 2014-06-10 |
| 1063847267 | Mari Nako Tchantcho | Home Health Aide | 17149 Moss Side Lane, Olney, MD 20832 | 2013-09-06 |
| 1033558358 | Emily Sue Browning | Dentist | 3416 Olandwood Court, Suite 205, Suite 205, Olney, MD 20832 | 2013-06-19 |
| 1487093167 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 3414 Olandwood Court, Olney, MD 20832 | 2013-06-17 |
| Find all providers in zip 20832 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326429879 | Sharon Renee Thomas | Psychologist | 18227 Fox Chase Cir, Olney, MD 20832-3003 | 2015-06-10 |
| 1619943784 | Jack A Cole | Psychologist | 302 S Kitchell Ave, Olney, IL 62450-1500 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497029 | Myles Schaultz | Psychologist | 202 Easton S Apt 101, Laurel, MD 20724-2131 | 2020-11-04 |
| 1609475979 | The Green Garden, LLC | Psychologist | 10635 York Rd Fl 2, Cockeysville, MD 21030-2357 | 2020-10-19 |
| 1225636830 | Samantha Reaves | Psychologist | 8401 Connecticut Ave Ste 1120, Chevy Chase, MD 20815-5846 | 2020-10-15 |
| 1730786039 | Lisa Anne Joseph | Psychologist | 114 Lynnmoor Dr, Silver Spring, MD 20901-1515 | 2020-10-08 |
| 1619574365 | Brittany Pereira | Psychologist | 15744 Crabbs Branch Way, Derwood, MD 20855-2686 | 2020-10-06 |
| 1720695588 | Lisa Marie Moscatiello | Psychologist | 6618 Cockerille Ave, Takoma Park, MD 20912-4732 | 2020-09-25 |
| 1508473638 | Elisa D'olivier Ndombele -sisler | Psychologist | 3225 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-09-23 |
| 1295348803 | Kathryn Steinman | Psychologist | 7988 Old Georgetown Rd Ste 8-a, Bethesda, MD 20814-2439 | 2020-08-25 |
| 1265044754 | Green Hill Psychotherapy | Psychologist | 112 Greenhill Rd, Greenbelt, MD 20770-1662 | 2020-08-18 |
| 1982214326 | Catherine Louise Ford | Psychologist | 3601 Nicholson St, Hyattsville, MD 20782-3234 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.