DR. WENDELL J CALLAHAN (NPI# 1174141717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174141717 |
| Entity Type | Individual |
| Full Name | DR. WENDELL J CALLAHAN |
| Credential | PHD |
| Practice Address |
5998 Alcala Park Mrh 215 San Diego CA 92110 |
| Mailing Address |
5998 Alcala Park Mrh 215 San Diego CA 92110-2492 |
| Practice Telephone | 6195730292 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
LEP2145 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5998 ALCALA PARK MRH 215 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649233982 | Carolyn T Greer | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-2476 | 2006-04-08 |
| 1275134009 | Harrison Christopher Garcia | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2020-11-06 |
| 1942818356 | Kristian Jamerson | Nurse Practitioner | 5998 Alcala Park, San Diego, CA 92110-8001 | 2020-07-22 |
| 1497385553 | Ding Wong | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2020-01-16 |
| 1871078642 | Benjamin K Brunnschweiler | Social Worker | 5998 Alcala Park, San Diego, CA 92110-8001 | 2018-09-27 |
| 1083127815 | Carly Hedegard | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2017-11-15 |
| 1437698677 | Brenna Jean Memole | Registered Nurse | 5998 Alcala Park, Student Health Center, Maher Hall 140, San Diego, CA 92110-2492 | 2017-02-21 |
| 1386181758 | Ashley Marroquin | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2017-01-24 |
| 1962958561 | University of San Diego Student Health Center | Clinic/Center | 5998 Alcala Park, Maher 140, San Diego, CA 92110-8001 | 2016-09-01 |
| 1144672809 | Raymond Tabuena | Specialist/Technologist | 5998 Alcala Park, San Diego, CA 92110-8001 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205518 | Kathryn Russell | Psychologist | 4714 Mount Alifan Dr, San Diego, CA 92111-2508 | 2020-05-04 |
| 1912536707 | Sara Leibelshon | Psychologist | 3323 B St, San Diego, CA 92102-2427 | 2020-04-03 |
| 1336775998 | Cinthya Hernandez | Psychologist | 849 Twining Ave, San Diego, CA 92154-2551 | 2020-03-16 |
| 1063048825 | Stacy Kreutzer | Psychologist | 4645 Benhurst Ave, San Diego, CA 92122-3019 | 2020-03-12 |
| 1922649383 | Maiko Ikeda | Psychologist | 16910 Bixby St Unit 9, San Diego, CA 92127-6844 | 2019-10-07 |
| 1154896561 | Cristina Acosta Areola | Psychologist | 3950 Byrd St, San Diego, CA 92154-1731 | 2018-10-11 |
| 1326566696 | Arleen Silva Conradi | Psychologist | 3604 4th Ave Ste 2, San Diego, CA 92103-4166 | 2017-09-06 |
| 1932620556 | Angela Aiello | Psychologist | 6515 Zena Dr, San Diego, CA 92115-7029 | 2017-07-05 |
| 1629512686 | Kelly Yonston | Psychologist | 3005 State St, San Diego, CA 92103-6029 | 2016-12-10 |
| 1851900401 | Brian Russell | Psychologist | 4714 Mount Alifan Dr, San Diego, CA 92111-2508 | 2020-07-29 |
| Find all providers in SAN DIEGO | ||||
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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.