Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. David Charles , PhD

Clinical Neuropsychologist โ€ข Algonquin, IL

Active NPI 1629526983 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1451 Merchant Dr
Algonquin, IL 601025917

Call 8474697537 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1451 Merchant Dr

Algonquin, IL 601025917

Telephone 8474697537
Fax 8474697540
Organization at the Same NPPES Address or Phone
Family Wellness Care Facility NPI 1336357854

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 7 distinct additional practice-address records in Barrington, IL; Chicago, IL; Deerfield, IL and 4 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Thomson Memory Center Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare-allowed amount

About $21,855 in 2017

The total amount Medicare approved for these services in 2017. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2017.

Paid by Medicare

About $17,029 in 2017

The part of the Medicare-allowed amount that Medicare itself paid in 2017, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2017.

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Charles has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Charles as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Algonquin and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Charles are from 2017.

13 active clinicians are listed under Clinical Neuropsychologist with a practice address in Algonquin, IL (248 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Algonquin

84.6% of these 13 clinicians have the CMS telehealth indicator.

76.9% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2017.

CMS Part B ยท Data Year 2017

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
96118 Neuropsychological testing, interpretation, and report by psychologist or physician per hour
143 18 $250.00 $93.06
90834 Psychotherapy, 45 minutes
70 11 $160.00 $82.25
90791 Psychiatric diagnostic evaluation
22 22 $250.00 $126.83

Source: CMS Part B by Provider and Service, 2017; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-23
Clinical Neuropsychologist Primary Specialty

NUCC Taxonomy Code: 103G00000X

License # reported to NPPES IL 071.011321

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20241211001304

Enrollment State Jurisdiction

IL

PECOS Control ID

6406136670

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Thomson Memory Center Llc

2604 Dempster St, Park Ridge, IL 600688428

Phone: 8474697537

Secondary Practice Locations

1531 S Grove Ave Unit 105

Barrington, IL 600105250

Phone: 8474697537

420 Lake Cook Rd Ste 112

Deerfield, IL 600154914

Phone: 8474697537

2551 N Clark St Ste 200

Chicago, IL 606141798

Phone: 8474697537

2300 N Barrington Rd Ste 105

Hoffman Estates, IL 601692033

Phone: 8474697537

2604 Dempster St Ste 407b

Park Ridge, IL 600688428

Phone: 8474697537

17w662 Butterfield Rd Ste 302

Oakbrook Terrace, IL 601814006

Phone: 8474697537

1603 Orrington Ave Ste 600

Evanston, IL 602013860

Phone: 8474697537

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Sharlet Anderson , PhD

Clinical Neuropsychologist

NPI 1528432044

Doctor of Philosophy (Ph.D.)

Dr. Nickolas Armstrong , PsyD

Clinical Neuropsychologist

NPI 1205443975

Doctor of Psychology (Psy.D.)

Dr. Christina Blodgett , PhD

Clinical Neuropsychologist

NPI 1003092008

Doctor of Philosophy (Ph.D.)

Erin Cantu , LCSW

Social Worker - Clinical

NPI 1528392669

Licensed Clinical Social Worker

Dr. Calsey Fasching , PsyD

Clinical Neuropsychologist

NPI 1194232975

Doctor of Psychology (Psy.D.)

Dr. Holly Hagen , PsyD

Clinical Neuropsychologist

NPI 1932537545

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location November 21, 2024

Registered at 1451 MERCHANT DR, ALGONQUIN, IL 601025917 (Tel: 8474697537)

๐Ÿ“
Updated Business Mailing Address November 21, 2024

Registered at 1451 MERCHANT DR, ALGONQUIN, IL 601025917 (Tel: 8474697537)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2024

Clinical Neuropsychologist (license number reported to NPPES: IL 071.011321)

โœ…
NPI Profile Active September 15, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 15, 2016

Registered at 421 BENJAMIN LN STE 202, LOUISVILLE, KY 402224845 (Tel: 5026908024)

๐Ÿ“
Business Mailing Address (Initial Record) September 15, 2016

Registered at PO BOX 2257, CHESTERTON, IN 463040357 (Tel: 2199268320)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 15, 2016

Recorded as DAVID CHARLES, PHD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2016

Psychologist (license number reported to NPPES: KY 2864)

๐ŸŸข
Initial NPI Registration & Enumeration September 15, 2016

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1629526983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2016
Last Update: September 23, 2025
Sole Proprietor: Yes

Other Clinical Neuropsychologists in Algonquin

All Clinical Neuropsychologists in Algonquin

Mailing Address

1451 Merchant Dr

Algonquin, IL 601025917

Phone: 8474697537

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.