Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles E. W. Berthold, PHD

Individual provider Clinical Psychologist · NPI 1285749986

Dr. Charles E. W. Berthold, PHD is a Clinical Psychologist in St Charles, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

405 Illinois Ave Ste 2C
St Charles, IL 60174-2963
Phone: (630) 377-3535
Fax: (630) 530-9527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X (IL)

Record details

NPI number1285749986
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address405 Illinois Ave, Ste 2c, St Charles, IL 60174-2963

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