Organization Active NPI

Charlotte Callens, LLC

  • Clinical Psychologist
  • Annapolis, MD
National Provider Identifier
1689807380
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CHARLOTTE CALLENS, LLC
Practice address
104 Forbes St
Suite 205
Annapolis, MD 21401-1516
Phone
(301) 812-1715
NPI assigned
Aug 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Dr. Charlotte Callens, PHD, MSNPI 1437310745
Title
Owner
Phone
(301) 812-1715

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X MD Primary

Addresses

Primary practice location

104 Forbes St
Suite 205
Annapolis, MD 21401-1516

Mailing address

104 Forbes St
Suite 205
Annapolis, MD 21401-1516
Phone (301) 812-1715

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1689807380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FORBES ST",
            "address_2": "SUITE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011516",
            "telephone_number": "301-812-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FORBES ST",
            "address_2": "SUITE 205",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011516",
            "telephone_number": "301-812-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE CALLENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "CALLENS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-812-1715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.