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DR. CHARLES R SOULE PH.D.
NPI 1639218035
Psychologist - Clinical Child & Adolescent in New York, NY

Active since February 05, 2007Opted out of Medicare · through Jul 30, 2028
20 W 86TH ST, STE. 1A, NEW YORK, NY 10024(212) 560-2406 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Charles R Soule Ph.d. NPPES

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

DR. CHARLES R SOULE PH.D. (NPI 1639218035) is an individual clinical child & adolescent provider in New York, New York, licensed in New York (012945) and active in the NPI registry since February 2007. He has opted out of Medicare through July 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639218035
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. CHARLES R SOULECredential: PH.D.
Location Address20 W 86TH ST, STE. 1ANew York, NY 10024-3604
Mailing Address317 W 95th St, Apt. 5eNew York, NY 10025-8600 · (646) 271-9089 · Fax (212) 305-6614
Phone(212) 560-2406
Sole ProprietorYes
Enumeration DateFebruary 5, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1639218035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in NY · 012945
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 012945 (NY)
20 W 86TH ST, New York, NY 10024
Open in Google Maps ↗

Other Identifiers 1

Other012945NY · Nys Licensed Psychologist

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 R Soule 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 July 30, 2018 through July 30, 2028.

Opt-Out Effective DateJuly 30, 2018
Opt-Out In Effect ThroughJuly 30, 2028Opt-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.

Other Providers at the Same Location NPPES 12

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

DR. IVAN BRESGI PH.D.
Psychologist (Clinical)
20 W 86TH ST, SUITE 1D
NEW YORK, NY 10024
New York County (212) 724-4992
MR. STEVE KIRSCHNER LCSW
Social Worker (Clinical)
20 W 86TH ST, 1B
NEW YORK, NY 10024
New York County (212) 886-4524
NANCY WASSERMAN COCOLA LCSW
Counselor (Mental Health)
20 W 86TH ST
NEW YORK, NY 10024
New York County (845) 661-8643
DR. LESLIE VERTER PH.D.
Psychologist
20 W 86TH ST, SUITE 1B
NEW YORK, NY 10024
New York County (646) 229-2980
DR. KAREN MARISAK PH.D.
Psychologist (Cognitive & Behavioral)
20 W 86TH ST, SUITE 1AA
NEW YORK, NY 10024
New York County (212) 874-6487
DR. TERRY GOLASH M.D.
Psychiatry & Neurology (Psychiatry)
20 W 86TH ST, B
NEW YORK, NY 10024
New York County (212) 874-1292
DR. JUDITH H. COBB PH.D..
Psychologist
20 W 86TH ST, # 1B
NEW YORK, NY 10024
New York County (212) 724-7760
DR. ELIZABETH D. STROSCIO, PH.D., LICENSED CLINICAL PSYCHOLOGIST, PC
Psychologist (Clinical)
20 W 86TH ST, SUITE 1AA
NEW YORK, NY 10024
New York County (646) 400-2863

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 Soule's NPI number?

The NPI number for Charles Soule is 1639218035. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Charles Soule located?

Charles Soule practices at 20 W 86th St Ste. 1A, New York, NY 10024. The listed phone number is (212) 560-2406.

What is Charles Soule's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Charles Soule enrolled in Medicare?

No. Charles Soule has opted out of Medicare through July 30, 2028. 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 Soule was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.