CHARLY DOLAN - NPI 1821689522 - Psychologist in Howell, MI

Q: What is Charly Dolan's NPI number?

The NPI number for Charly Dolan is 1821689522. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Q: What is Charly Dolan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charly Dolan was last updated on August 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Charly Dolan NPPES

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

CHARLY DOLAN (NPI 1821689522) is an individual clinical provider in Howell, Michigan, licensed in Michigan (6362009794) and active in the NPI registry since January 2021. She maintains a secondary practice location in Farmington Hills and is a graduate of Michigan State University College Of Human Medicine (2023).

NPPES Registry Identity

NPI1821689522

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameCHARLY DOLAN

Location Address323 E GRAND RIVER AVEHowell, MI 48843-2322

Mailing Address27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312 · (248) 436-4400

Phone(989) 510-7626

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2023

Enumeration DateJanuary 27, 2021

Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration

NPPES CertifiedAugust 23, 2023

✔ NPI 1821689522 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 MI · 6362009794

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.

323 E GRAND RIVER AVE, Howell, MI 48843

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Secondary Practice Location 1

Location 127777 Inkster Rd Ste 100Farmington Hills, MI 48334-5312 · Phone (248) 436-4400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charly Dolan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163913237

PECOS Enrollment IDI20251117002398

Other Providers at the Same Location NPPES 7

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

MS. HOPE MARIE JENNINGS LLMSW

Social Worker (Clinical)