Individual provider Active NPI

Kathryn Calka

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Sicklerville, NJ
National Provider Identifier
1104257104
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
26NR09597300 Issued in NJ
Practice address
2295 Garwood Rd
Sicklerville, NJ 08081-2221
Phone
(856) 784-7441
Fax
(856) 784-7338
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 26NR09597300 NJ Primary

Addresses

Primary practice location

2295 Garwood Rd
Sicklerville, NJ 08081-2221

Mailing address

2295 Garwood Rd
Sicklerville, NJ 08081-2221
Phone (856) 784-7441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NR09597300NJMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1104257104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 GARWOOD RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812221",
            "telephone_number": "856-784-7441",
            "fax_number": "856-784-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 GARWOOD RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812221",
            "telephone_number": "856-784-7441",
            "fax_number": "856-784-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKA",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NJ",
            "license": "26NR09597300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.