Individual provider Active NPI

Chase Hamilton Callard, BCBA

  • Behavior Analyst
  • Northglenn, CO
National Provider Identifier
1669915062
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-15884 Issued in UT
Practice address
11698 Huron St
Building 5, Suite 106
Northglenn, CO 80234-2920
Phone
(720) 381-0264
NPI assigned
Dec 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-14-15884 UT Primary

Addresses

Primary practice location

11698 Huron St
Building 5, Suite 106
Northglenn, CO 80234-2920

Mailing address

270 N 200 W
Apt 2
Logan, UT 84321-3806
Phone (248) 766-0015

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trumpet Behavioral Health, LLC Behavior Analyst 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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1669915062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 N 200 W",
            "address_2": "APT 2",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213806",
            "telephone_number": "248-766-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11698 HURON ST",
            "address_2": "BUILDING 5, SUITE 106",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802342920",
            "telephone_number": "720-381-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLARD",
        "first_name": "CHASE",
        "middle_name": "HAMILTON",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": "1-14-15884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.