Active NPI
Cathleen Callahan
- Mental Health Counselor
- Sayville, NY
National Provider Identifier
1487317129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 011678
- Practice address
- 10 Alba CT
Sayville, NY 11782-1538 - Phone
- (631) 822-8139
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 011678 | NY | Primary |
Addresses
Primary practice location
10 Alba CT
Sayville, NY 11782-1538
Mailing address
10 Alba CT
Sayville, NY 11782-1538
Phone (631) 275-2228
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011678 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1487317129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ALBA CT",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117821538",
"telephone_number": "631-275-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ALBA CT",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117821538",
"telephone_number": "631-822-8139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "CATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "011678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.