DR. MARK TRAVIS CALLESEN (NPI# 1457461956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457461956 |
| Entity Type | Individual |
| Full Name | DR. MARK TRAVIS CALLESEN |
| Credential | M.D. |
| Practice Address |
1255 W Baseline Rd Ste B258 Mesa AZ 85202-5820 |
| Mailing Address |
4747 N 7th St Suite 100 Phoenix AZ 85014-3653 |
| Practice Telephone | 4808200825 |
| Practice Fax Number | 4808207863 |
| Mailing Telephone | 6022797655 |
| Mailing Fax Number | 6022641806 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
23058 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1255 W BASELINE RD STE B258 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831128016 | Catherine Sue Bradway | Registered Nurse | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2006-07-01 |
| 1538706635 | Rebecca Robinson | Physical Therapist | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2019-12-08 |
| 1851781173 | Desanne Gonsalves | Physician Assistant | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2015-01-26 |
| 1912329293 | Alyssa Palty | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2014-01-06 |
| 1538599949 | Meredith Moore | Counselor | 1255 W Baseline Rd, Mesa, AZ 85202-5820 | 2013-11-21 |
| 1295168763 | Sheila P Holly | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-08-19 |
| 1063845329 | Audrey Carol Hilmoe | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-08-09 |
| 1568808111 | Annia Salas | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2013-05-21 |
| 1366793978 | Aurelio Abraham Duarte-encinas | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-09-21 |
| 1346597853 | Guadalupe J Holguin | Counselor | 1255 W Baseline Rd, Suite B258, Mesa, AZ 85202-5820 | 2012-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669983433 | Integrity Mental Health LLC | Psychiatry & Neurology | 455 N Mesa Dr Ste 6, Mesa, AZ 85201-5936 | 2017-10-19 |
| 1578088605 | Lee Cohn | Psychiatry & Neurology | 1720 N Gentry Cir, Mesa, AZ 85213-3417 | 2017-08-09 |
| 1841633641 | Aris Mosley | Psychiatry & Neurology | 570 W. Brown Rd., Mesa, AZ 85201 | 2013-04-10 |
| 1750642153 | Cerola Guerdie Charles | Psychiatry & Neurology | 5416 E Southern Ave Ste 106, Mesa, AZ 85206-3622 | 2012-06-01 |
| 1144438243 | Adnan Celjo | Psychiatry & Neurology | 1855 W Baseline Rd Ste 101, Mesa, AZ 85202 | 2007-05-20 |
| 1306980164 | Chandler Tamara Gunning | Psychiatry & Neurology | 3740 E Southern, Suite 110, Mesa, AZ 85206 | 2007-02-16 |
| 1689753352 | Jaroslaw F Opechowski | Psychiatry & Neurology | 2929 N. Power Rd, Suite 101, Mesa, AZ 85215 | 2006-11-03 |
| 1346323110 | Jose Alberto Agosto | Psychiatry & Neurology | 310 South Extension Road, Mesa, AZ 85210 | 2006-10-23 |
| 1760429856 | Michael Brennan | Psychiatry & Neurology | 868 E University Dr, Mesa, AZ 85203-8033 | 2006-05-31 |
| 1922052182 | Laura Don | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-05-20 |
| Find all providers in MESA | ||||
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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.