Active NPI
Kelley Callahan, PSY.D
- Psychologist
- Greenville, OH
National Provider Identifier
1780906206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4466
- Practice address
- 212 E Main St
Greenville, OH 45331-1913 - Phone
- (937) 548-1635
- Fax
- (937) 548-1500
- NPI assigned
- Feb 25, 2010
- Last updated
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4466 | OH | Primary |
Addresses
Primary practice location
212 E Main St
Greenville, OH 45331-1913
Mailing address
PO Box 895
212 East Main Street
Greenville, OH 45331
Phone (937) 548-1635
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
416 Xenia Ave
Yellow Springs, OH 45387-1836
Phone (937) 767-9171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4466 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Layh & Associates Inc | Current | Accepting new patients |
Locations
416 Xenia Ave
Yellow Springs, OH 45387
Phone (937) 767-9171
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Layh and Associates Inc
- Clinical Psychologist
- Yellow Springs, OH
- NPI 1437176492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1780906206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 895",
"address_2": "212 EAST MAIN STREET",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "45331",
"telephone_number": "937-548-1635",
"fax_number": "937-548-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 E MAIN ST",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453311913",
"telephone_number": "937-548-1635",
"fax_number": "937-548-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KELLEY",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.