DR. CHARLES J. CORLISS PH.D.
NPI 1396801346
Psychologist - Clinical in New York, NY
About Dr. Charles J. Corliss Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLES J. CORLISS PH.D. (NPI 1396801346) is an individual clinical provider in New York, New York, licensed in New York (008791-1) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Charles J. Corliss Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Charles Corliss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10034
- Reassigned Medicare billing, New York enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Corliss's NPI number?
The NPI number for Charles Corliss is 1396801346. It was assigned to this individual provider in the NPPES registry on December 27, 2006.
Where is Charles Corliss located?
Charles Corliss practices at 425 E 86th St Suite 1D, New York, NY 10028. The listed phone number is (212) 410-0499.
What is Charles Corliss's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Charles Corliss enrolled in Medicare?
Yes. Charles Corliss is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Charles Corliss's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Corliss reassigns Medicare benefits to Inwood Community Services, Inc. (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Corliss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Charles Corliss 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.
# Dr. Charles J. Corliss, PH.D. · NPI 1396801346
Clinical provider in New York, New York. Individual provider, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1396801346 (Entity type: Individual)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 008791-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 425 E 86TH ST, SUITE 1D, New York, NY 10028-6449
- **Phone:** (212) 410-0499 · **Fax:** (212) 567-9476
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Inwood Community Services, Inc. (NPI 1083771232, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Fordham University School Of Medicine, class of 1986
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified V63421 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1396801346) · Data from the CMS NPPES public registry.