Charles Cornwall , MA
Psychologist • Towanda, PA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Cornwall has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Charles Cornwall, MA was a registered Psychologist practicing in Towanda, PA. Throughout an active medical career spanning 20 years, Charles Cornwall provided care at the practice location at 21 MAIN ST until profile deactivation on 2026-07-09.
Practice Location & Contact Primary Location
21 Main St
Towanda, PA 188481803
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist in Towanda, PA
Practicing in Towanda, PA (2901 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 103T00000X
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Clinical Social Worker
Registered Nurse - Psychiatric/Mental Health, Adult
Advanced Practice Registered Nurse
Counselor - Addiction (Substance Use Disorder)
Licensed Clinical Social Worker
Social Worker
Licensed Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 09, 2026
NPI status registered as active in NPPES database
Registered at 21 MAIN ST, TOWANDA, PA 188481803 (Tel: 5702652525)
Registered at PO BOX 104, 202 SECOND ST., ULSTER, PA 188500104 (Tel: 5703583905)
Recorded as CHARLES CORNWALL, MA
Psychologist (License #PS002239L in PA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 104, 202 Second St.
Ulster, PA 188500104
Phone: 5703583905
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