Active NPI
Nathan Callaghan
- Professional Counselor
- Auburn Hills, MI
National Provider Identifier
1730909151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6451023165
- Practice address
- 3250 University Dr Ste 115
Auburn Hills, MI 48326-2391 - Phone
- (248) 844-2647
- NPI assigned
- Oct 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6362009771 | MI | |
| Professional Counselor | 101YP2500X | 6451023165 | MI | Primary |
Addresses
Primary practice location
3250 University Dr Ste 115
Auburn Hills, MI 48326-2391
Mailing address
248 W Auburn TRL
Brighton, MI 48114-5001
Phone (810) 623-5065
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023165 | MI | MD | Professional Counselor |
| 6362009771 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1730909151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 W AUBURN TRL",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481145001",
"telephone_number": "810-623-5065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 UNIVERSITY DR STE 115",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483262391",
"telephone_number": "248-844-2647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAGHAN",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6362009771",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6451023165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.