Charles Powell, PH.D.
NPI 1396981833ActiveIndividual· Psychologist· Casper, WY
Psychologist (PH.D.) with Park Ridge Behavioral Healthcare LLC, practicing in Casper, Wyoming. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1396981833 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jan 6, 2009 |
| Last updated in NPPES | Aug 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 215 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WY) |
|---|
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Park Ridge Behavioral Healthcare LLCCasper, WY · 9 clinicians
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