Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Balke, PSYD

Individual provider Clinical Psychologist · NPI 1790113009

Charles Balke, PSYD is a Clinical Psychologist in Fort Wayne, Indiana. Qualified in 2007, 19 years ago. Practices with Von Bargen Associates Inc, a 2-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
19
Licensed in
IN
In the registry since
2013
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

7311A W Jefferson Blvd
Fort Wayne, IN 46804-6237
Phone: (260) 471-8033
Fax: (260) 471-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 208 S Maple St, Pierceton, IN 46562-9086 — (574) 594-3815

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20042479A (IN)

Record details

NPI number1790113009
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedOctober 23, 2013
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022
Mailing address7311a W Jefferson Blvd, Fort Wayne, IN 46804-6237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Von Bargen Associates Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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