Charles A Burgess, PHD - Psychologist in Columbia, MO

Charles A Burgess, PHD is a Psychologist - Clinical based in Columbia, Missouri. Charles A Burgess is licensed to practice in Missouri (license number 2019039862) and his current practice location is 119 Parker Hall, Columbia, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 882-6601.

NPI number for Charles A Burgess is 1215541040 and his current mailing address is 119 Parker Hall, Columbia, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215541040.

Contact Information

Charles A Burgess, PHD
119 Parker Hall,
Columbia, MO 65211-2340
(573) 882-6601
Not Available



Healthcare Provider's Profile

Full NameCharles A Burgess
GenderMale
SpecialityPsychologist - Clinical
Location119 Parker Hall, Columbia, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215541040
  • Provider Enumeration Date: 08/31/2020
  • Last Update Date: 08/31/2020

Medical Identifiers

Medical identifiers for Charles A Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215541040NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2019039862 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles A Burgess is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles A Burgess, PHD
119 Parker Hall,
Columbia, MO 65211-2340

Ph: (573) 882-6601
Charles A Burgess, PHD
119 Parker Hall,
Columbia, MO 65211-2340

Ph: (573) 882-6601

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› Verified 9 days ago


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