CHARLES MCCAFFERTY, MD, LLC
NPI 1003094731
Clinic/Center - Adult Mental Health in Saint Paul, MN

Active since February 05, 2008
977 SUMMIT AVE, SAINT PAUL, MN 55105(651) 227-6369(651) 227-9545 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Adult Mental Health

About CHARLES MCCAFFERTY, MD, LLC

This page provides the complete NPI Profile along with additional information for Charles Mccafferty, Md, Llc, a provider established in Saint Paul, Minnesota operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1003094731 assigned on February 2008. The practitioner's primary taxonomy code is 261QM0850X with license number 17268 (MN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Charles Mccafferty Md (Owner)

NPI
1003094731 Verify this NPI
Provider Name
CHARLES MCCAFFERTY, MD, LLC
Entity Type
Organization
Location Address
977 SUMMIT AVE SAINT PAUL, MN 55105
Location Phone
(651) 227-6369
Location Fax
(651) 227-9545
Mailing Address
977 SUMMIT AVE SAINT PAUL, MN 55105
Mailing Phone
(651) 227-6369
Mailing Fax
(651) 227-9545
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2008
Last Update Date
02-05-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
17268
License State
MN
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES MCCAFFERTY MD

Authorized Official Title
OWNER
Authorized Official Phone
(651) 227-6369

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B58300MEDICARE UPIN (02)MN 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
977 SUMMIT AVE
SAINT PAUL, MN 55105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003094731, enumerated as an "organization" on February 05, 2008.

The provider is located at 977 SUMMIT AVE SAINT PAUL, MN 55105 and the phone number is (651) 227-6369.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.