CHARLES P WAITZ PHD NPI 1497950422

NPI Information

  • NPI: 1497950422
  • Provider Name: CHARLES P WAITZ PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 639 STOKES RD
    SUITE 203
    MEDFORD, NJ
    ZIP 08055
  • Phone: (609) 953-1222

Map and Directions

Get Directions

NPI Details

CHARLES P WAITZ PHD is a clinical psychologist in Medford, NJ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CHARLES P WAITZ PHD NPI is 1497950422. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

639 STOKES RD
SUITE 203
MEDFORD, NJ
ZIP 08055-003
Phone: (609) 953-1222
Fax: (609) 714-0095

The provider's authorized official is Charles P Waitz .
The authorized official title is Clinical Psychologist Owner and has the following contact phone number (609) 953-1222.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPS002060LPENNSYLVANIANo
2103TC0700XPsychologistClinical35SI00109300NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI