Robert Stephen Callaghan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36202-020 Issued in WI

Practice address

8700 Durand Ave Ste 600
Sturtevant, WI 53177

Phone

(262) 635-5520

Fax

(262) 635-5530

NPI assigned

Oct 5, 2005

Last updated

May 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Psychiatric Services of Racine, LLP

  • Prescribing (Medical) Psychologist
  • Sturtevant, WI
  • NPI 1699791988
  Medicare reassignment NPD

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1275520033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 DURAND AVE STE 600",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531772096",
            "telephone_number": "262-635-5520",
            "fax_number": "262-635-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 DURAND AVE STE 600",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "53177",
            "telephone_number": "262-635-5520",
            "fax_number": "262-635-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAGHAN",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "36202-020",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "36202-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32095400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlene C Adams, PT
• Julie Marie Arndt
• David Hector Benavides, OTR
• Jenelle Berce, DPT
• Latrisha R Davis
• Ryan K Deibert, O.D.
• Carlton L Donowa, DDS
• Aline Dufresne, D.M.D
• Ciara Glancy, DDS

• Psychiatry Physician in Sturtevant, WI
• Providers in Sturtevant, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.