Individual provider Active NPI

Cari Diane Callaway, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pickerington, OH
National Provider Identifier
1629562053
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.023162 Issued in OH
Practice address
437 Hill Rd N
Pickerington, OH 43147
Phone
(614) 834-1919
NPI assigned
Jun 19, 2018
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 367054 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.023162 OH Primary

Addresses

Primary practice location

437 Hill Rd N
Pickerington, OH 43147

Mailing address

2273 Waters Edge Blvd
Columbus, OH 43209-3333
Phone (614) 813-4091

Other practice location 1

2273 Waters Edge Blvd
Columbus, OH 43209-3333
Phone (614) 813-4091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211001227 OH Practitioner - Nurse Practitioner 8224372719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohio Psychiatric Services LLCGroup PAC ID 1850689266, 5 clinicians
Psychiatric Services and TMS Center LLCGroup PAC ID 9335527480, 6 clinicians

Practice addresses (Care Compare)

5551 Hilliard Rome Office Park
Hilliard, OH 43026-7287
Phone (740) 201-6021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
367054OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Psychiatric Services LLC. CurrentSince Jun 15, 2020 Accepting new patients

Locations

5551 Hilliard Rome Office Park
Hilliard, OH 43026
Phone (614) 850-0500

109 N Broad St
Ste 304
Lancaster, OH 43130
Phone (740) 201-6021

Interoperability endpoints

  • Direct secure messaging: ohiopsychiatricservicesllc.caricallaway@143075.advancedmd-direct.com

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1629562053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 WATERS EDGE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432093333",
            "telephone_number": "614-813-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "43147",
            "telephone_number": "614-834-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2273 Waters Edge Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432093333",
            "country_code": "US",
            "telephone_number": "614-813-4091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAWAY",
        "first_name": "CARI",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "367054",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.023162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.