Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles John Kallick, MD

Individual provider Psychiatry Physician · NPI 1043402829

Mr. Charles John Kallick, MD is a Psychiatry Physician in Westport, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12 Crooked Mile Rd
Westport, CT 06880-1123
Phone: (203) 226-3685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 011345 (CT)

Record details

NPI number1043402829
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 15, 2007
Last updated in NPPESAugust 15, 2007
Mailing address12 Crooked Mile Rd, Westport, CT 06880-1123

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