DR. PAUL JOHN CALLAHAN (NPI# 1114062239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114062239 |
Entity Type | Individual |
Full Name | DR. PAUL JOHN CALLAHAN |
Credential | PSY.D. |
Practice Address |
2557 Massachusetts Ave Cambridge MA 02140-1020 |
Mailing Address |
26 Stevens Ter Arlington MA 02476-7720 |
Practice Telephone | 7816431020 |
Mailing Telephone | 7816431531 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6376 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BCBS ID # | W05323 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205044351 | Paul F. Callahan | Dentist | 61 Hilton Ave, Garden City, NY 11530-2895 | 2007-05-21 |
1922015882 | Paul W Callahan | Dentist | 14 Pidgeon Hill Dr, Suite 200, Sterling, VA 20165-6155 | 2006-08-02 |
Street Address |
2557 MASSACHUSETTS AVE |
City | CAMBRIDGE |
State | MA |
Zip Code | 02140-1020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033129580 | Julie S Ross | Psychologist | 2557 Massachusetts Ave, Cambridge, MA 02140-1020 | 2006-08-08 |
1700360955 | Lauren Fatovic | Social Worker | 2557 Massachusetts Ave, Cambridge, MA 02140-1020 | 2018-09-23 |
1467602722 | Judith G. Goldberg | Social Worker | 2557 Massachusetts Ave, Cambridge, MA 02140-1020 | 2008-09-23 |
1508032145 | Kristin M. Hall | Counselor | 2557 Massachusetts Ave, Cambridge, MA 02140-1020 | 2008-05-04 |
1639375041 | Kirr Associates Inc | Counselor | 2557 Massachusetts Ave, Cambridge, MA 02140-1020 | 2007-06-22 |
1811018716 | Melinda Mancini | Counselor | 2557 Massachusetts Ave, Cambridge, MA 02140-1020 | 2007-04-02 |
1699811109 | Nancy Ann Klug | Psychologist | 2557 Massachusetts Ave, Cambridge, MA 02140-1020 | 2007-01-30 |
1790855393 | Valerie Kirr | Counselor | 2557 Massachusetts Ave, Cambridge, MA 02140-1020 | 2006-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
Find all providers in zip 02140 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093227928 | Spencer C. Evans | Psychologist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2017-11-01 |
1497011365 | Evelyn Gould | Psychologist | 10 Concord Ave, Cambridge, MA 02138-2322 | 2012-04-05 |
1174818843 | Erica Lee | Psychologist | 1493 Cambridge St, Cambridge Health Alliance, Cambridge, MA 02139-1047 | 2011-06-10 |
1184953077 | Elizabeth Driscoll | Psychologist | 1280 Massachusetts Ave, Suite 303, Cambridge, MA 02138-3840 | 2009-12-24 |
1841441920 | Jacqueline Sperling | Psychologist | 799 Concord Ave, Cambridge, MA 02138-1048 | 2008-10-07 |
1710136098 | Robyn L. Glover | Psychologist | 575 Mount Auburn St, Suite 101, Cambridge, MA 02138-4656 | 2008-09-11 |
1356552541 | Christopher Edward Morton | Psychologist | 799 Concord Ave, #4, Cambridge, MA 02138-1048 | 2007-05-27 |
1477610038 | Treniece Harris | Psychologist | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2007-01-03 |
1609932912 | David Anthony Whelan | Psychologist | 227 Concord Ave, Unit D, Cambridge, MA 02138-1334 | 2006-12-29 |
1780759613 | Laura M. Gaugh | Psychologist | 1493 Cambridge St, Cambridge Health Alliance, Station Landing/ccad, Cambridge, MA 02139-1047 | 2006-11-24 |
Find all providers in CAMBRIDGE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.