Phillip Edward Caldwell IV, REGISTER MFT INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT51290 Issued in CA

Practice address

6211 Laguna Park Dr
Elk Grove, CA 95758-4852

Phone

(916) 684-8177

NPI assigned

Jun 14, 2007

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Triad Family Services

  • Community/Behavioral Health Agency
  • Sacramento, CA
  • NPI 1770672602
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1891999561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241801",
            "telephone_number": "916-684-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 LAGUNA PARK DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584852",
            "telephone_number": "916-684-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "PHILLIP",
        "middle_name": "EDWARD",
        "name_suffix": "IV",
        "credential": "REGISTER MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT51290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lani Calagui
• Leo Calaustro
• Dolores Calderon, M.D.
• Guadalupe Calderon
• Natalia Calderon
• Shachrista Caldwell
• California Correctional Health Care Services
• California Hospitalist Physicians Inc
• California Minute Clinic Inc
• California Northstate University

• Mental Health Counselor in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.