Individual provider Active NPI

Christopher Callahan Conway, PHD

  • Clinical Psychologist
  • Tarrytown, NY
National Provider Identifier
1407083439
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
024132 Issued in NY
Practice address
78 Leroy Ave
Tarrytown, NY 10591-4622
Phone
(914) 338-8446
NPI assigned
Jun 17, 2009
Reactivated
Feb 23, 2022
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 024132 NY Primary

Addresses

Primary practice location

78 Leroy Ave
Tarrytown, NY 10591-4622

Mailing address

78 Leroy Ave
Tarrytown, NY 10591-4622

Other practice location 1

421 N Highland Ave
Nyack, NY 10960-1339
Phone (845) 353-3399

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
024132NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Psychological Services PC Clinical CurrentSince Mar 20, 2022 Accepting new patients

Locations

421 N Highland Ave
Nyack, NY 10960
Phone (845) 353-3399

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1407083439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 LEROY AVE",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 LEROY AVE",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914622",
            "telephone_number": "914-338-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 N Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Nyack",
            "state": "NY",
            "postal_code": "109601339",
            "country_code": "US",
            "telephone_number": "845-353-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "CHRISTOPHER",
        "middle_name": "CALLAHAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "deactivation_date": "2022-01-11",
        "reactivation_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.