Susan Joy McCallum, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

20735 Saint Francis Blvd
Anoka, MN 55303-9667

Phone

(763) 753-9542

NPI assigned

Jun 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568666105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20735 SAINT FRANCIS BLVD",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553039667",
            "telephone_number": "763-753-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20735 SAINT FRANCIS BLVD",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553039667",
            "telephone_number": "763-753-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "SUSAN",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin R Masterton, LICSW
• Trisha Matter
• Nora Matthews, LPCC
• Gail Rose Maudal, PH.D., L.P.
• Sonia Mayren
• Nathan McCormick
• Eleanor Nicole McCoy
• Karen Ingrid McCoy, OTR/L
• Richard David McCoy
• Christine M McDonnell, ANP

• Mental Health Counselor in Anoka, MN
• Providers in Anoka, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.