NPIMap

Organization Active NPI

Peter J. Callahan, PLLC

  • Clinical Social Worker
  • Martinsburg, WV
National Provider Identifier
1669644852
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00941942 Issued in WV
Legal business name
PETER J. CALLAHAN, PLLC
Practice address
1020 Winchester Ave
Martinsburg, WV 25401-1650
Phone
(304) 886-4118
Fax
(304) 579-8606
NPI assigned
Mar 27, 2008
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Peter J. Callahan, LICSW, CAC-S, CCFCNPI 1205834389
Title
Psychotherapist
Phone
(304) 886-4118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X DP00941942 WV Primary

Addresses

Primary practice location

1020 Winchester Ave
Martinsburg, WV 25401-1650

Mailing address

PO Box 1074
Martinsburg, WV 25402-1074
Phone (304) 886-4118

Other names 1

  • Callahan, PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200330002608 WV Part B Supplier - Clinic/Group Practice 8224467014 Receives reassigned benefits from 1 practitioner
Practice locations: Martinsburg, WV

National Provider Directory

National Provider Directory
Tax ID family
Peter J Callahan PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1669644852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1074",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254021074",
            "telephone_number": "304-886-4118",
            "fax_number": "304-579-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WINCHESTER AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011650",
            "telephone_number": "304-886-4118",
            "fax_number": "304-579-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J. CALLAHAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "304-886-4118",
        "authorized_official_credential": "LICSW, CAC-S, CCFC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00941942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Callahan, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.