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DR. CHARLES E BURBRIDGE PH.D.
NPI 1245395904
Psychologist - Clinical in Pleasant Valley, NY

Active since December 23, 2006Opted out of Medicare · through Dec 1, 2027
1421 ROUTE 44, TIMOTHY PROFESSIONAL BUILDING, PLEASANT VALLEY, NY 12569(845) 635-3214(845) 635-3214 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles E Burbridge Ph.d. NPPES

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

DR. CHARLES E BURBRIDGE PH.D. (NPI 1245395904) is an individual clinical provider in Pleasant Valley, New York, licensed in New York (006222) and active in the NPI registry since December 2006. He has opted out of Medicare through December 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245395904
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CHARLES E BURBRIDGECredential: PH.D.
Location Address1421 ROUTE 44, TIMOTHY PROFESSIONAL BUILDINGPleasant Valley, NY 12569-7832
Mailing Address80 Kingwood ParkPoughkeepsie, NY 12601-5448 · (845) 635-3214 · Fax (845) 635-3214
Phone(845) 635-3214
Fax(845) 635-3214
Sole ProprietorYes
Enumeration DateDecember 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245395904 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 NY · 006222
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.
1421 ROUTE 44, Pleasant Valley, NY 12569
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Charles E Burbridge Ph.d. 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 December 1, 2019 through December 1, 2027.

Opt-Out Effective DateDecember 1, 2019
Opt-Out In Effect ThroughDecember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12569 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.05 typical visit price
range $61.88 – $187.05
Typical copayment $46.76 (range $15.47 – $46.76)
Most-billed visit code 99205
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. EDWARD R NISHBALL PHD
Psychologist
1421 ROUTE 44
PLEASANT VALLEY, NY 12569
Dutchess County (845) 635-8988
DR. RICHARD MARVIN DOUGLASS PSYCHOLOGIST
Psychologist
1421 ROUTE 44
PLEASANT VALLEY, NY 12569
Dutchess County (845) 723-4373

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 Burbridge's NPI number?

The NPI number for Charles Burbridge is 1245395904. It was assigned to this individual provider in the NPPES registry on December 23, 2006.

Where is Charles Burbridge located?

Charles Burbridge practices at 1421 Route 44 Timothy Professional Building, Pleasant Valley, NY 12569. The listed phone number is (845) 635-3214.

What is Charles Burbridge's specialty?

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

Is Charles Burbridge enrolled in Medicare?

No. Charles Burbridge has opted out of Medicare through December 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Charles Burbridge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.