Active NPI
Paul M Caillier, PH.D.
- Clinical Neuropsychologist
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 891-57
- Practice address
- 2620 Stein Blvd Ste B
Eau Claire, WI 54701-2674 - Phone
- (715) 836-0064
- Fax
- (715) 836-0065
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6039-120 | WI | |
| Clinical Neuropsychologist | 103G00000X | 891-57 | WI | Primary |
| Psychologist | 103T00000X | 891-057 | WI |
Addresses
Primary practice location
2620 Stein Blvd Ste B
Eau Claire, WI 54701-2674
Mailing address
2620 Stein Blvd
Eau Claire, WI 54701-6201
Phone (715) 836-0064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39026400 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891-57 | WI | MD | Clinical Neuropsychologist |
| 891-057 | WI | MD | Psychologist |
| 6039-120 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caillier Clinic LTD | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
475 Chippewa Mall Dr
Ste 315
Chippewa Falls, WI 54729
2620 Stein Blvd
Eau Claire, WI 54701
Phone (715) 831-0100
2620 Stein Blvd
Ste B
Eau Claire, WI 54701
Phone (715) 458-2575
1200 Hosford St
Ste 101
Hudson, WI 54016
700 Wolske Bay Rd
Ste 100
Menomonie, WI 54751
312 W Knapp St
Ste B
Rice Lake, WI 54868
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 and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Eau Claire, WI
- NPI 1659453058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1467534883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 STEIN BLVD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016201",
"telephone_number": "715-836-0064",
"fax_number": "715-836-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 STEIN BLVD STE B",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547012674",
"telephone_number": "715-836-0064",
"fax_number": "715-836-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAILLIER",
"first_name": "PAUL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "6039-120",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WI",
"license": "891-57",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "891-057",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39026400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.