Immanuel Lewis Callahan

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

UQ962169 Issued in OH

Practice address

3271 W 115TH St
Cleveland, OH 44111-2743

Phone

(216) 532-9955

NPI assigned

Nov 16, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1376252536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3271 W 115TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112743",
            "telephone_number": "216-532-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 W 115TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112743",
            "telephone_number": "216-532-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "IMMANUEL",
        "middle_name": "LEWIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "OH",
            "license": "UQ962169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Calkins
• Kayla Calkins, PHARMD
• Brian Callahan
• Carrie M Callahan, CT, MFTT
• Hope Callahan, LSW
• John Callahan
• Thomas Daniel Callahan V, MD
• Victoria Rose Callahan, FNP
• Theresa Marie Callard-Moore, PH.D, MSW, ACSW
• Juan C Calle Cano, MD

• Intellectual & Developmental Disabilities Psychologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Intellectual & Developmental Disabilities Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.