DR. MYRTLE CHARISSE MEANS (PHD) – Psychologist, NPI 1710084801
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
483 CLINICAL PSYCHOLOGIST in GA
Provider Addresses for DR. MYRTLE CHARISSE MEANS (PHD)
11285 Elkins Rd Ste D3
Roswell, GA 300765835
Phone: (313) 574-6616
Type: Location
19855 Outer Dr # 103
Dearborn, MI 481242022
Phone: (313) 574-6616
Type: Location
23003 GREATER MACK AVE STE B
SAINT CLAIR SHORES, MI 480801965
Phone: (313) 574-6616
Type: Location
11285 ELKINS RD STE D3
ROSWELL, GA 300765835
Phone: (313) 574-6616
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031203000020 | I | Clinical Psychologist | MI | TBD |
| I20171129003719 | I | Psychologist Billing Independently | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30076)
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