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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: August 23, 2026.

About Charles Mccafferty, Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES MCCAFFERTY, MD, LLC (NPI 1003094731) is a healthcare organization registered as an adult mental health in Saint Paul, Minnesota and active in the NPI registry since February 2008. The organization lists Charles Mccafferty, Owner, as its authorized official.

NPPES Registry Identity

NPI1003094731
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCHARLES MCCAFFERTY, MD, LLC
Location Address977 SUMMIT AVESaint Paul, MN 55105-3032
Mailing Address977 Summit AveSaint Paul, MN 55105-3032 · (651) 227-6369 · Fax (651) 227-9545
Phone(651) 227-6369
Fax(651) 227-9545
Organization SubpartNo
Authorized OfficialCharles MccaffertyOwner · (651) 227-6369
Enumeration DateFebruary 5, 2008
✔ NPI 1003094731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in MN · 17268
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
977 SUMMIT AVE, Saint Paul, MN 55105
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINB58300MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAUREEN KELLY MSW, LICSW
Social Worker (Clinical)
977 SUMMIT AVE
SAINT PAUL, MN 55105
Ramsey County (651) 227-6369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mccafferty, MD, LLC's NPI number?

The NPI number for Charles Mccafferty, MD, LLC is 1003094731. It was assigned to this organization in the NPPES registry on February 5, 2008.

Where is Charles Mccafferty, MD, LLC located?

Charles Mccafferty, MD, LLC is located at 977 Summit Ave, Saint Paul, MN 55105. The listed phone number is (651) 227-6369.

What is Charles Mccafferty, MD, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Charles Mccafferty, MD, LLC was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.