Theresa A Callender, LCSW, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2013 Issued in ME

Practice address

11 Medical Center Dr
Brunswick, ME 04011-3061

Phone

(207) 373-9417

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Teri Callender Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: tcallender342984@direct.mmc.mainehealth.org

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.

• Daniel P. Stein, MD, PA

  • Neurology Physician
  • Sarasota, FL
  • NPI 1164736831
  NPD (past)
• Mark T Howell DO PA

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1275840084
  NPD (past)
• Negroski Neurology, LLP

  • Neurology Physician
  • Sarasota, FL
  • NPI 1821015694
  NPD (past)
• Tillman Therapeutic Services, PLLC

  • Clinical Social Worker
  • Sarasota, FL
  • NPI 1841664836
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1962410860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL CENTER DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113061",
            "telephone_number": "941-320-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL CENTER DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113061",
            "telephone_number": "207-373-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLENDER",
        "first_name": "THERESA",
        "middle_name": "A",
        "credential": "LCSW, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10945",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERI",
            "last_name": "CALLENDER",
            "credential": "LCSW, PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Burr Butterfield, OT/L
• Leslie Byrne, MS OTR/L
• Alicia Mello Caiazzi, PA
• Marian Elisa Caiem, PMHNP
• Nubia Alexandra Calabi, MD
• Lon Cameron
• Jane Campbell
• Virginia Marion Campbell, AGACNP-BC
• Rebecca H Cannon, LCSW
• Amelia Capella, AGACNP

• Physician Assistant in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.