CHARLES A BURGESS PH.D.
NPI 1215541040
Psychologist - Clinical in Columbia, MO

Q: What is Charles Burgess's NPI number?

The NPI number for Charles Burgess is 1215541040. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Q: What is Charles Burgess's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Burgess was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 31, 2020

119 PARKER HALL, COLUMBIA, MO 65211(573) 882-6601 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles A Burgess Ph.d. NPPES

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

CHARLES A BURGESS PH.D. (NPI 1215541040) is an individual clinical provider in Columbia, Missouri, licensed in Missouri (2019039862) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1215541040

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCHARLES A BURGESSCredential: PH.D.

Location Address119 PARKER HALLColumbia, MO 65211-2340

Mailing Address119 Parker HallColumbia, MO 65211-2340 · (573) 882-6601

Phone(573) 882-6601

Sole ProprietorNo

Enumeration DateAugust 31, 2020

NPPES CertifiedAugust 31, 2020

✔ NPI 1215541040 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 MO · 2019039862

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.

119 PARKER HALL, Columbia, MO 65211

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Other Providers at the Same Location NPPES

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

ADRIONIA MARIE MOLDER PH.D.

Psychologist (Counseling)

119 PARKER HALL
COLUMBIA, MO 65211

Callaway County (573) 882-2665

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 Burgess's NPI number?

The NPI number for Charles Burgess is 1215541040. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Charles Burgess located?

Charles Burgess practices at 119 Parker Hall, Columbia, MO 65211. The listed phone number is (573) 882-6601.

What is Charles Burgess's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Burgess was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.