Active NPI
Charles V Callahan, PH.D.
- Cognitive & Behavioral Psychologist
- West Hempstead, NY
National Provider Identifier
1497823553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 004169-1
- Practice address
- 287 Maple St
West Hempstead, NY 11552-3203 - Phone
- (516) 485-5481
- Fax
- (516) 485-5481
- NPI assigned
- Nov 30, 2006
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 004169-1 | NY | Primary |
Addresses
Primary practice location
287 Maple St
West Hempstead, NY 11552-3203
Mailing address
287 Maple St
West Hempstead, NY 11552-3203
Phone (516) 485-5481
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 |
|---|---|---|---|
| 004169-1 | NY | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1497823553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 MAPLE ST",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115523203",
"telephone_number": "516-485-5481",
"fax_number": "516-485-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 MAPLE ST",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115523203",
"telephone_number": "516-485-5481",
"fax_number": "516-485-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "CHARLES",
"middle_name": "V",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "004169-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.