Individual provider Active NPI

Richard Allan Callahan II, MD

  • Child & Adolescent Psychiatry Physician
  • Aventura, FL
National Provider Identifier
1215378336
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME119927 Issued in FL
Practice address
21150 Biscayne Blvd Ste 202
Aventura, FL 33180-1231
Phone
(305) 692-3270
Fax
(305) 792-1425
NPI assigned
Jul 17, 2013
Last updated
Mar 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD462734 PA
Psychiatry Physician 2084P0800X ME119927 FL
Psychiatry Physician 2084P0800X 25MA09384200 NJ
Child & Adolescent Psychiatry Physician 2084P0804X ME119927 FL Primary

Addresses

Primary practice location

21150 Biscayne Blvd Ste 202
Aventura, FL 33180-1231

Mailing address

21150 Biscayne Blvd Ste 202
Aventura, FL 33180-1231
Phone (305) 692-3270

Other practice location 1

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (484) 337-4286

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RICHARD.CALLAHAN@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141112001350 FL Practitioner - Psychiatry 4587886221 Reassigns benefits to 5 organizations
I20160330000620 NC Practitioner - Psychiatry 4587886221 Reassigns benefits to 1 organization
I20190731003307 PA Practitioner - Psychiatry 4587886221 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Florida Behavioral Health Network, LLCGroup PAC ID 7810160249, 9 clinicians

Practice addresses (Care Compare)

21150 Biscayne Blvd
Suite 202
Aventura, FL 33180-1231
Phone (305) 692-3270

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fornance Physician Services, Inc Current Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Apr 29, 2021 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Apr 29, 2021 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Apr 29, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2020 Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Feb 4, 2019 Accepting new patients
St. Luke's Physician Group, Inc. Psychiatry CurrentSince Jul 1, 2019 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Apr 29, 2021 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Winter Haven Hospital Inc CurrentSince Apr 29, 2021 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Feb 4, 2019 Accepting new patients
East Florida Behavioral Health Network, LLC Psychiatry CurrentSince Oct 17, 2018 Accepting new patients
Fornance Physician Services, Inc. CurrentSince May 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 1, 2019 Accepting new patients
Fornance Physician Services, Inc Psychiatry CurrentSince May 1, 2021 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Apr 29, 2021 Accepting new patients
Main Line Healthcare CurrentSince May 1, 2024 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Apr 29, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2020 Accepting new patients
Whidbey Island Public Hospital District Psychiatry PastSince Feb 27, 2017 Accepting new patients
Inpathy Behavioral Healthcare Group LLC Psychiatry Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

21150 Biscayne Blvd
Ste 202
Miami, FL 33180
Phone (305) 682-9600

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

560 Jackson St N
Ste 302
St Petersburg, FL 33705
Phone (727) 820-7701

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

1 Hospital Dr
Asheville, NC 28801
Phone (828) 213-1994

428 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-5253

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

205 S Front St
Fl 5
Harrisburg, PA 17104
Phone (717) 231-8360

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: rcallahan1470149@direct.novanthealth.org
  • Direct secure messaging: richard.callahan@hca4.eclinicaldirectplus.com
  • Direct secure messaging: richard.callahanmd.p1@direct.cfg.nextgenshare.com

Organizations & group practices 24

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

View all 24

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1215378336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD STE 202",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801231",
            "telephone_number": "305-692-3270",
            "fax_number": "305-792-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD STE 202",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801231",
            "telephone_number": "305-692-3270",
            "fax_number": "305-792-1425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Bryn Mawr Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103121",
            "country_code": "US",
            "telephone_number": "484-337-4286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD462734",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME119927",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09384200",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME119927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RICHARD.CALLAHAN@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "21150 Biscayne Blvd Ste 202",
            "city": "Aventura",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331801231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.