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

Individual provider Psychologist · NPI 1396981833

Dr. Charles Powell, PHD is a Clinical Psychologist in Casper, Wyoming. Qualified in 1990, 36 years ago. Practices with Park Ridge Behavioral Healthcare LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
36
Licensed in
WY
In the registry since
2009
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

2435 King Blvd Ste 313
Casper, WY 82604-3169
Phone: (307) 462-4876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 215 (WY)

Record details

NPI number1396981833
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 6, 2009
Last updated in NPPESAugust 26, 2013
Mailing address2435 King Blvd Ste 313, Casper, WY 82604-3169

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Park Ridge Behavioral Healthcare Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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