Individual provider Active NPI

Christine O'Callaghan, 17665-130

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Bend, WI
National Provider Identifier
1437603859
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Practice address
1622 Chestnut St
West Bend, WI 53095-3014
Phone
(262) 306-9800
Fax
(262) 306-9802
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1622 Chestnut St
West Bend, WI 53095-3014

Mailing address

1971 Washington St
Suite 200
Grafton, WI 53024-2122
Phone (262) 377-6276

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alarus Home Health LLC Past Accepting new patients
Alarus Healthcare, LLC Mental Health (Including Community Mental Health Center) PastSince Mar 16, 2014 Accepting new patients

Organizations & group practices 2

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1437603859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242122",
            "telephone_number": "262-377-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 CHESTNUT ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953014",
            "telephone_number": "262-306-9800",
            "fax_number": "262-306-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CALLAGHAN",
        "first_name": "CHRISTINE",
        "credential": "17665-130",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.