Individual provider Active NPI

Artis Marie Callaham, PHD

  • Cognitive & Behavioral Psychologist
  • Los Angeles, CA
National Provider Identifier
1124841382
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
2673 Issued in CA
Practice address
5830 Overhill Dr Ste 2
Los Angeles, CA 90043-2710
Phone
(213) 424-2497
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X 2673 CA Primary

Addresses

Primary practice location

5830 Overhill Dr Ste 2
Los Angeles, CA 90043-2710

Mailing address

5361 Overdale Dr
Los Angeles, CA 90043-2022
Phone (562) 480-7251

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2673CAMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nia Foundation Cognitive & Behavioral CurrentSince Nov 10, 2024 Accepting new patients

Locations

5830 Overhill Dr
Ste 2
Los Angeles, CA 90043
Phone (213) 424-2497

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1124841382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 OVERDALE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432022",
            "telephone_number": "562-480-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 OVERHILL DR STE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432710",
            "telephone_number": "213-424-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAM",
        "first_name": "ARTIS",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "2673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.