Active NPI
Paul Vincent Callahan, ED.D
- Pastoral Counselor
- Tampa, FL
National Provider Identifier
1487370664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 3030 N Rocky Point Dr W Ste 665
Tampa, FL 33607-5906 - Phone
- (813) 286-2959
- NPI assigned
- Oct 18, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
3030 N Rocky Point Dr W Ste 665
Tampa, FL 33607-5906
Mailing address
1845 Farrington Dr
Lakeland, FL 33809-6826
Phone (863) 640-0077
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | floridasurgeryconsultants.com | Health Information Exchange (HIE) | |
| CONNECT URL | floridasurgeryconsultants.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1487370664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 FARRINGTON DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338096826",
"telephone_number": "863-640-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 N ROCKY POINT DR W STE 665",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075906",
"telephone_number": "813-286-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "PAUL",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "floridasurgeryconsultants.com",
"affiliation": "N",
"endpointDescription": "internal communications",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3030 N Rocky Point Dr W Ste 665",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336075906",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "floridasurgeryconsultants.com",
"affiliation": "N",
"endpointDescription": "internal communication",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3030 N Rocky Point Dr W Ste 665",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336075906",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.