Healthcare Provider Details

I. General information

NPI: 1467675322
Provider Name (Legal Business Name): CHARLES J WININGER L.P., L.M.H.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

583 5TH ST
BROOKLYN NY
11215-3503
US

IV. Provider business mailing address

369 WASHINGTON AVE APT. 4C
BROOKLYN NY
11238-1142
US

V. Phone/Fax

Practice location:
  • Phone: 718-783-3222
  • Fax:
Mailing address:
  • Phone: 718-783-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number003977
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number000789
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: