Organization Active NPI

Callahan PC

  • Clinical Neuropsychologist
  • Omaha, NE
National Provider Identifier
1093991531
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
CALLAHAN PC
Doing business as
Neuropsychological Consulting
Practice address
4242 Farnam St
Suite 655
Omaha, NE 68131-2806
Phone
(402) 552-2665
Fax
(402) 552-2655
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ty Scott Callahan, PHD
Title
President Ceo
Phone
(402) 301-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

4242 Farnam St
Suite 655
Omaha, NE 68131-2806

Mailing address

14067 Hartman Ave
Omaha, NE 68164-5103
Phone (402) 301-5188

Other names 1

  • Neuropsychological Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

4242 Farnam St
#655N
Omaha, NE 68131
Phone (402) 552-2665

10840 Old Mill Rd
Ste 200
Omaha, NE 68154

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1093991531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14067 HARTMAN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645103",
            "telephone_number": "402-301-5188",
            "fax_number": "402-552-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 FARNAM ST",
            "address_2": "SUITE 655",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312806",
            "telephone_number": "402-552-2665",
            "fax_number": "402-552-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAHAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "402-301-5188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuropsychological Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.