DR. CHARLES R. MYERS (NPI# 1669990529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669990529 |
| Entity Type | Individual |
| Full Name | DR. CHARLES R. MYERS |
| Credential | PH. D. |
| Practice Address |
30 Airport Rd South Burlington VT 05403-6432 |
| Practice Telephone | (802) 658-0040 |
| Practice Fax Number | 8026580216 |
| Mailing Telephone | 8026580040 |
| Mailing Fax Number | 8026580216 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
048.0000691 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | STATE OF VT BOARD OF PSYCHOLOGICAL EXAMINERS PSYCHOLOGIST -DOCTO | 048.0000691 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922503002 | Charles Myers | Student in an Organized Health Care Education/Training Program | 3425 Crimson King Ct, Lexington, KY 40517-2807 | 2018-03-29 |
| 1679690820 | Charles Edwin Myers | Counselor | 2014 Cyrus Way, Denton, TX 76208-7568 | 2007-03-23 |
| 1588725634 | Charles J Myers | Chiropractor | 5030 Hilltop Rd, Apt K, Greensboro, NC 27407-5254 | 2006-12-13 |
| 1982622692 | Charles D Myers Jr. | Dentist | 133 Cedar St, St Stephen, SC 29479 | 2006-07-18 |
| 1245285949 | Charles Jeffrey Myers | Obstetrics & Gynecology | 938 Mezzanine Dr, Suite B, Lafayette, IN 47905-8641 | 2006-05-23 |
| 1306499603 | Charles Henry Myers II | Registered Nurse | 1313 E 20th St, Okmulgee, OK 74447-6303 | 2019-07-17 |
| 1962857839 | Charles Myers | Dentist | 2350 Scenic Dr, Venice, FL 34293-1510 | 2016-04-28 |
| 1922408095 | Charles Myers | Pharmacist | 11416 Rockville Pike, Suite D, Rockville, MD 20852-3082 | 2014-08-26 |
| 1417375957 | Charles Myers | Pathology | 2307 Greene Way, Louisville, KY 40220-4009 | 2014-04-02 |
| 1740529221 | Charles Myers | Physical Therapy Assistant | 1650 Phillips Rd, Tallahassee, FL 32308-5304 | 2013-02-04 |
| Street Address |
30 AIRPORT RD |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-6432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463076 | Alison Rebecca Jane Weeks | Social Worker | 30 Airport Rd, South Burlington, VT 05403-6432 | 2020-10-07 |
| 1780191593 | Erica Hazen | Social Worker | 30 Airport Rd, South Burlington, VT 05403-6432 | 2018-01-02 |
| 1083914782 | Peter Anthony Cudney | Social Worker | 30 Airport Rd, South Burlington, VT 05403-6432 | 2010-10-27 |
| 1497885107 | Nfi Vermont, Inc | Community/Behavioral Health | 30 Airport Rd, South Burlington, VT 05403-6432 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497931992 | Vermont Psychological Solutions, Plc | Psychologist | 1 Kennedy Dr Ste U8, South Burlington, VT 05403-7166 | 2008-01-14 |
| 1114983939 | Clifford Miles Karmiohl | Psychologist | 22 Patchen Rd, South Burlington, VT 05403-5704 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538290523 | Mark Carpenter Mumford | Psychologist | Counseling Service of Addison County,inc., 89 Main Street, Middlebury, VT 05753 | 2007-03-08 |
| 1255481529 | Allen Moulton | Psychologist | 234 Maple St, Stowe, VT 05672-4248 | 2007-01-11 |
| 1093877300 | Susie Elizabeth Caron | Psychologist | 325 Swamp Rd, Fairfax, VT 05454-9777 | 2006-12-14 |
| 1184735466 | David R Ritter | Psychologist | 14 S Williams St, Burlington, VT 05401-3400 | 2006-08-31 |
| 1134132053 | Robert Charles Hemmer | Psychologist | 5271 Main St, Manchester Center, VT 05255-9776 | 2006-08-14 |
| 1740798453 | Pamela Swift | Psychologist | 1 S Prospect St, Burlington, VT 05401-3456 | 2018-01-16 |
| 1497172704 | Amy Paysnick | Psychologist | 12 Pearl St, Essex Junction, VT 05452-3604 | 2014-03-25 |
| 1295056356 | K and L Associates | Psychologist | 160 Benmont Ave, Bennington, VT 05201-1873 | 2010-06-11 |
| 1700043759 | Masha Y Ivanova | Psychologist | 1 South Prospect Street, Uhc St Josephs Wing 3rd Floor, Burlington, VT 05401 | 2008-05-19 |
| 1164544516 | Laura Anne Basili | Psychologist | 135 S Pleasant St, Middlebury, VT 05753-1479 | 2007-04-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
Please comment or provide details below to improve the information on DR. CHARLES R. MYERS.
| 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.