Gregory Charboneau, EDD, BCN, BCB
NPI 1790773463 · Clinical Neuropsychologist · Spokane, WA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gregory Charboneau, EDD, BCN, BCB is a Clinical Neuropsychologist provider in Spokane, WA (NPI 1790773463).
Provider details
- NPI number
- 1790773463
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- EDD, BCN, BCB
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2046 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
- Health Psychologist103TH0004X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-07
- Last updated
- 2012-11-14
Frequently asked questions
- What is Gregory Charboneau's NPI number?
- Gregory Charboneau's National Provider Identifier (NPI) is 1790773463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Charboneau's specialty?
- Gregory Charboneau is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Gregory Charboneau located?
- Gregory Charboneau's practice location on file with NPPES is 3157 E. 17th Avenue, Spokane, WA 99223-5136.
- What is Gregory Charboneau's phone number?
- The practice phone number listed in the NPPES registry for Gregory Charboneau is (509) 838-8066.
- Does Gregory Charboneau accept Medicare?
- Gregory Charboneau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gregory Charboneau's NPI active?
- Yes — Gregory Charboneau's NPI (1790773463) is active in the NPPES registry as of the last update on 2012-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.