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CHARLES PATRICK HERTICA
NPI 1275240095
Peer Specialist in Kingston, NY

Active since November 01, 2022
368 BROADWAY STE 204, KINGSTON, NY 12401(845) 481-4728 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles Patrick Hertica NPPES

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

CHARLES PATRICK HERTICA (NPI 1275240095) is an individual peer specialist in Kingston, New York and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1275240095
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCHARLES PATRICK HERTICA
Location Address368 BROADWAY STE 204Kingston, NY 12401-5159
Mailing Address305 Hurley Ave Apt 7fKingston, NY 12401-6838 · (845) 532-8266
Phone(845) 481-4728
Sole ProprietorNo
Enumeration DateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1275240095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
368 BROADWAY STE 204, Kingston, NY 12401
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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.

HELEN JANE CANO CASAC-T
Counselor (Addiction (Substance Use Disorder))
368 BROADWAY STE 204
KINGSTON, NY 12401
Ulster County (845) 663-6237
DAVID JAMES MCNAMARA CASAC-T
Counselor (Addiction (Substance Use Disorder))
368 BROADWAY STE 204
KINGSTON, NY 12401
Ulster County (917) 783-9352

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 Hertica's NPI number?

The NPI number for Charles Hertica is 1275240095. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Charles Hertica located?

Charles Hertica practices at 368 Broadway Ste 204, Kingston, NY 12401. The listed phone number is (845) 481-4728.

What is Charles Hertica's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Charles Hertica was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.