DR. CHARLES K. UNDERWOOD JR. (NPI# 1174775084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174775084 |
| Entity Type | Individual |
| Full Name | DR. CHARLES K. UNDERWOOD JR. |
| Credential | PH.D. LMHC |
| Practice Address |
1047 Shinnecock Hills Dr Oviedo FL 32765-5809 |
| Mailing Address |
Po Box 825 Goldenrod FL 32733-0825 |
| Practice Telephone | 4073427165 |
| Practice Fax Number | 4079770931 |
| Mailing Telephone | 4073427165 |
| Mailing Fax Number | 4079770931 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 6777 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | Z024Y | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184057010 | Charles Wesley Underwood II | Social Worker | 6034 Delfair Ln, Milford, OH 45150-2587 | 2013-08-14 |
| 1932335676 | Charles Underwood | Registered Nurse | 252 Milpass Dr, Holly Springs, NC 27540-9651 | 2009-06-09 |
| 1407309156 | Charles Joel Underwood IIi | Physical Therapist | 2801 Allison Bonnett Memorial Dr, Hueytown, AL 35023-1859 | 2016-07-29 |
| 1235258088 | Charles Underwood | Social Worker | 116 Summer St, Haverhill, MA 01830-6032 | 2007-03-29 |
| 1629131586 | Charles Richard Underwood | Family Medicine | 400 8th St N, Naples, FL 34102-5519 | 2006-12-19 |
| 1144388638 | Charles R Underwood | Specialist | 598 Nancy St Nw, Suite 250, Marietta, GA 30060-1362 | 2006-12-05 |
| Street Address |
1047 SHINNECOCK HILLS DR |
| City | OVIEDO |
| State | FL |
| Zip Code | 32765-5809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
| 1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
| 1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
| 1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
| 1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
| 1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
| 1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
| 1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
| Find all providers in zip 32765 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1619588480 | Fields Counseling, LLC | Counselor | 1750 W Broadway St Ste 106, Oviedo, FL 32765-9618 | 2020-08-13 |
| 1639729643 | Elizabeth Van Arsdale Yantorni | Counselor | 1519 Myrtle Oaks Trl, Oviedo, FL 32765-9520 | 2019-09-12 |
| 1528532231 | Christina L Kavenagh | Counselor | 720 Bentley St, Oviedo, FL 32765-8779 | 2019-01-15 |
| 1063912509 | Delaney Anderson-davis | Counselor | 980 Kerwood Cir, Oviedo, FL 32765-6147 | 2018-02-20 |
| 1962937201 | Susan Singer | Counselor | 1012 Pearson Dr, Oviedo, FL 32765-7041 | 2017-04-24 |
| 1639521032 | Shelby Maniccia | Counselor | 513 Alafaya Woods Blvd, Apt H, Oviedo, FL 32765-5519 | 2016-07-08 |
| 1720432370 | Ashley Squillante | Counselor | 4538 Bond Ln, Oviedo, FL 32765-9600 | 2016-04-20 |
| 1306232103 | Wendy Mosholder-hart | Counselor | 1759 W Broadway St Ste 3, Oviedo, FL 32765-8128 | 2015-04-09 |
| 1235527433 | Mark Davenport | Counselor | 1592 Francois Court, Oviedo, FL 32765-7594 | 2014-12-23 |
| Find all providers in OVIEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.