John Caldwell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1520 Kelley PL FL 2
Walla Walla, WA 99362-8654

Phone

(509) 524-2920

Fax

(509) 524-2993

NPI assigned

Mar 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1518265495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "address_2": "1520 KELLY PLACE, 2ND FLOOR",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620329",
            "telephone_number": "509-524-2920",
            "fax_number": "509-524-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 KELLEY PL FL 2",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993628654",
            "telephone_number": "509-524-2920",
            "fax_number": "509-524-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251B00000X",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251S00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly S Cadwallader, LMHC
• Andrea Cafferky
• David Zheng Cai, M.D.
• Terri McCormack Caicedo
• Gina Marie Calderon
• Ryan Calhoon, LMT
• Heather Calkins
• Jennifer Callender
• Patrick Andrew Calvo, LMFTA
• Cameron Stewart DDS LLC

• Mental Health Counselor in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.