CHARLES GLENN DOYLE (PSY.D.) – Clinical Psychologist, NPI 1821073909

CHARLES GLENN DOYLE (PSY.D.) is a healthcare provider. based in Joplin, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 2004033755 (MO). The NPI Number for CHARLES GLENN DOYLE (PSY.D.) is 1821073909

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES GLENN DOYLE (PSY.D.)
NPI
1821073909
Phone
(417) 782-1443
Address
1230 N DUQUESNE RD
Enumeration Date
12 December 2005
Last Update Date
11 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4177821443
Graduation Year
2002 (24 years ago)
PAC ID
9335107655
Group Practice PAC ID
0749383842
Professional Enrollment ID
I20050307000245
Address ID
MO648011509JO1230XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

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Provider Addresses for CHARLES GLENN DOYLE (PSY.D.)

  • 1230, North Duquesne Road, Joplin, Jasper County, Missouri, 64801, United States

    JOPLIN, MO 648011509

    Phone: (417) 782-1443

    Fax: (417) 782-3240

    Mailing address matches the actual address.

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: 2005-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050307000245IClinical PsychologistMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour55135$0
90834Psychotherapy, 45 minutes5314$0
90791Psychiatric diagnostic evaluation1111$0
View full utilization report →

Insurance plans in this area (ZIP 64801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749383842View full group profile
NameSpecialtyState
Clinical Social WorkerMO
Marriage And Family TherapistMO
-MO
Mental Health CounselorMO
Clinical Social WorkerMO
Clinical Social WorkerMO
-MO
Clinical Social WorkerOK
Mental Health CounselorMO
Mental Health CounselorMO

Reviews

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Frequently asked questions

What is the standard ID for CHARLES GLENN DOYLE (PSY.D.) in the U.S.?
In the U.S., CHARLES GLENN DOYLE (PSY.D.) is identified by NPI 1821073909.
Is CHARLES GLENN DOYLE (PSY.D.) currently accepting referrals based on NPI status?
Registry metadata lists CHARLES GLENN DOYLE (PSY.D.) as active.
Which specialty label fits CHARLES GLENN DOYLE (PSY.D.)?
NPPES ties CHARLES GLENN DOYLE (PSY.D.) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHARLES GLENN DOYLE (PSY.D.)?
CHARLES GLENN DOYLE (PSY.D.) is associated with Joplin, Missouri in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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