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NPI · 1376201772 · NPPES-sourced

Dr. Charles Jack PH.D.

ActiveClinical Psychologist
NPI Number
1376201772
Type 1 · Individual
Taxonomy Code
103TC0700X
Contact
(716) 598-8827
License NJ · 35SI00726500
Last Updated
Enumerated
Primary practice addressNY · 14075
5178 Parker RdHamburg, NY 14075
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About this NPIWhat this record shows.

NPI 1376201772 is registered to Dr. Charles Jack PH.D., a Clinical Psychologist practising at 5178 Parker Rd in Hamburg, New York. Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Charles Jack PH.D. has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Charles Jack PH.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Charles Jack PH.D. directly at (716) 598-8827.

Frequently asked

Yes. NPI 1376201772 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (716) 598-8827.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Charles Jack PH.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy103TC0700X
Last updated
Enumerated
StatusActive
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