Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558941963 Individual Practitioner Male Practitioner

Dr. Charles Alexander Brake , PhD

Psychologist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Charles Brake, PhD is a registered healthcare professional specializing in Psychologist in Providence, RI. Practice services are available at 830 CHALKSTONE AVE BLDG 14 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

830 Chalkstone Ave Bldg 14

Providence, RI 029084734

Telephone 4012737100
Associated Practice Facility / Clinic
🏢 Va Medical Center Facility NPI 1447213731

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 33.6 Yrs
Regional Practice Density
124 Specialists

Practicing in Providence, RI (255 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-09
Psychologist Primary Specialty

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

40 Associated Practitioners
Toni Acampora , LICSW

Social Worker - Clinical

NPI 1003511809

Licensed Independent Clinical Social Worker

Roosevelt Maldonado

Social Worker - Clinical

NPI 1003525601
Lily Curreri , RDN

Dietitian, Registered

NPI 1003789132

Registered Dietitian Nutritionist

NPI 1003821869

Master of Science in Nursing, RNP

Helen Sullivan , RN

Registered Nurse

NPI 1003924135

Registered Nurse

Renee Watson , LICSW

Social Worker - Clinical

NPI 1013051242

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 09, 2021

Registered at 830 CHALKSTONE AVE BLDG 14, PROVIDENCE, RI 029084734 (Tel: 4012737100)

📍
Updated Business Mailing Address April 09, 2021

Registered at 243 BROADWAY APT 3, PROVIDENCE, RI 029033068

👤
Provider Name / Credentials Updated April 09, 2021

Recorded as CHARLES BRAKE, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2021

Psychologist

🟢
Initial NPI Registration & Enumeration April 09, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558941963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2021
Last Update: April 09, 2021
Sole Proprietor: No

Mailing Address

243 Broadway Apt 3

Providence, RI 029033068

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.