Individual provider Active NPI

Christy Callahan, PMHNP-BC, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Severna Park, MD
National Provider Identifier
1508237512
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R196354 Issued in MD
Practice address
539 Benfield Rd Ste 2
Severna Park, MD 21146-2511
Phone
(410) 513-4513
Fax
(989) 217-5103
NPI assigned
Oct 16, 2015
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R196354 MD Primary

Addresses

Primary practice location

539 Benfield Rd Ste 2
Severna Park, MD 21146-2511

Mailing address

539 Benfield Rd Ste 2And3
Severna Park, MD 21146-2511
Phone (410) 513-4513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis the Mental Health Center, LLC CurrentSince Jan 29, 2023 Accepting new patients
Shine Behavioral Health, LLC Psychiatric/Mental Health CurrentSince Apr 5, 2020 Accepting new patients

Locations

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

539 Benfield Rd
Ste 2
Severna Park, MD 21146
Phone (207) 400-7258

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1508237512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BENFIELD RD STE 2AND3",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462511",
            "telephone_number": "410-513-4513",
            "fax_number": "866-697-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 BENFIELD RD STE 2",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462511",
            "telephone_number": "410-513-4513",
            "fax_number": "989-217-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "CHRISTY",
        "credential": "PMHNP-BC, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R196354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.