DR. GREGORY J. CHARBONEAU EDD, BCN, BCB
NPI 1790773463
Clinical Neuropsychologist in Spokane, WA

Q: What is Gregory Charboneau's NPI number?

The NPI number for Gregory Charboneau is 1790773463. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Q: What is Gregory Charboneau's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment

3157 E. 17TH AVENUE, SPOKANE, WA 99223(509) 838-8066(800) 594-8305 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gregory J. Charboneau Edd, Bcn, Bcb NPPES

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

DR. GREGORY J. CHARBONEAU EDD, BCN, BCB (NPI 1790773463) is an individual clinical neuropsychologist in Spokane, Washington, licensed in Washington (WA.LIC2046) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1790773463

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. GREGORY J. CHARBONEAUCredential: EDD, BCN, BCB

Location Address3157 E. 17TH AVENUESpokane, WA 99223-5136

Mailing Address3157 E. 17th AvenueSpokane, WA 99223-5136 · (509) 838-8066 · Fax (800) 594-8305

Phone(509) 838-8066

Fax(800) 594-8305

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateOctober 7, 2005

Last NPPES UpdateNovember 14, 2012

✔ NPI 1790773463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in WA · WA.LIC2046

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2046 (WA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedPsychologist · HealthTaxonomy 103TH0004X

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X

3157 E. 17TH AVENUE, Spokane, WA 99223

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Other Identifiers 2

Other80159590Apa#

Medicare UPIN911983795WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory J. Charboneau Edd, Bcn, Bcb 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.

PECOS PAC ID4587074414

PECOS Enrollment IDI20201104003106

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Gregory Charboneau's NPI number?

The NPI number for Gregory Charboneau is 1790773463. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Gregory Charboneau located?

Gregory Charboneau practices at 3157 E. 17th Avenue, Spokane, WA 99223. The listed phone number is (509) 838-8066.

What is Gregory Charboneau's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Gregory Charboneau enrolled in Medicare?

Yes. Gregory Charboneau 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.

What insurance does Gregory Charboneau accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gregory Charboneau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gregory Charboneau was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.