Individual provider Active NPI

Paul M Caillier, PH.D.

  • Clinical Neuropsychologist
  • Eau Claire, WI
National Provider Identifier
1467534883
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
891-57 Issued in WI
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

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39026400MedicaidWI

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

LicenseStateTypeSpecialty
891-57WIMDClinical Neuropsychologist
891-057WIMDPsychologist
6039-120WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caillier Clinic LTD Clinical Neuropsychologist CurrentSince Dec 20, 1982 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.

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.

Verify at the official NPI Registry.