Individual provider Active NPI

Pamela Calvano, L. M. F. T.

  • Marriage & Family Therapist
  • South Bend, IN
National Provider Identifier
1598973968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35000777A Issued in IN
Practice address
818 E Jefferson Blvd
South Bend, IN 46617-2905
Phone
(574) 287-1879
Fax
(574) 234-6025
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35000777A IN Primary

Addresses

Primary practice location

818 E Jefferson Blvd
South Bend, IN 46617-2905

Mailing address

2288 Yankee St
Niles, MI 49120-3903
Phone (574) 287-1879

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

State licenses

LicenseStateTypeSpecialty
35000777AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alcohol & Addictions Resource Center Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598973968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2288 YANKEE ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203903",
            "telephone_number": "574-287-1879",
            "fax_number": "574-234-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172905",
            "telephone_number": "574-287-1879",
            "fax_number": "574-234-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVANO",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "L. M. F. T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000777A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • 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.