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CHARLES BACHUS
NPI 1164615506
Psychologist - Clinical in Princeton, NJ

Active since August 20, 2007Opted out of Medicare · through Oct 1, 2026
166 BUNN DR STE 101, PRINCETON, NJ 08540(609) 921-6899 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Bachus NPPES

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

CHARLES BACHUS (NPI 1164615506) is an individual clinical provider in Princeton, New Jersey, licensed in New Jersey (35SI00150100) and active in the NPI registry since August 2007. He has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1164615506
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCHARLES BACHUS
Location Address166 BUNN DR STE 101Princeton, NJ 08540-2800
Mailing Address166 Bunn Dr Ste 101Princeton, NJ 08540-2800 · (609) 921-6899
Phone(609) 921-6899
Sole ProprietorNo
Enumeration DateAugust 20, 2007
Last NPPES UpdateAugust 21, 2007
✔ NPI 1164615506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · 35SI00150100
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
166 BUNN DR STE 101, Princeton, NJ 08540
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Other Identifiers 1

Medicare PIN432649TP5NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Charles Bachus has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DR. ROBIN LI PHD
Psychologist (Counseling)
166 BUNN DR STE 101
PRINCETON, NJ 08540
Mercer County (609) 232-2969
CHARLES T BACHUS, PA
Psychologist (Clinical)
166 BUNN DR STE 101
PRINCETON, NJ 08540
Mercer County (609) 921-6899
DR. NASYA BREACH PSY.D.
Psychologist (Clinical)
166 BUNN DR STE 101
PRINCETON, NJ 08540
Mercer County (609) 557-3418

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 Bachus's NPI number?

The NPI number for Charles Bachus is 1164615506. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Charles Bachus located?

Charles Bachus practices at 166 Bunn Dr Ste 101, Princeton, NJ 08540. The listed phone number is (609) 921-6899.

What is Charles Bachus's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Charles Bachus enrolled in Medicare?

No. Charles Bachus has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Charles Bachus was last updated on August 21, 2007. 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.