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

Dr. Charles Jack, PHD

Individual provider Psychologist · NPI 1376201772

Dr. Charles Jack, PHD is a Psychologist in Hamburg, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021
Specialties on file
2
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

5178 Parker Rd
Hamburg, NY 14075
Phone: (716) 598-8827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 35SI00726500 (NJ)
Psychologist Taxonomy 103T00000X

Record details

NPI number1376201772
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 2, 2021
Last updated in NPPESNovember 24, 2023
Certification dateDecember 2, 2021
Mailing address5178 Parker Rd, Hamburg, NY 14075

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