DR. PATRICK EVAN CALLAHAN (NPI# 1740593441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740593441 |
Entity Type | Individual |
Full Name | DR. PATRICK EVAN CALLAHAN |
Credential | PH.D. |
Practice Address |
Hhd 1st Special Warfare Training Group Building D-2609, Ardennes Street Fort Bragg NC 28310-0001 |
Mailing Address |
2817 Reilly Road Mcxc-cod Credentials Womack Army Medical Center Fort Bragg NC 28310 |
Practice Telephone | 9106434350 |
Practice Fax Number | 9106434349 |
Mailing Telephone | 9109078922 |
Mailing Fax Number | 9109076069 |
Enumeration Date | 2010-07-22 |
Last Update Date | 2010-07-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1594 | AL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497286926 | Patrick Callahan | Family Medicine | 314 Ne Thornton Pl, Seattle, WA 98125-9000 | 2017-03-26 |
1235549767 | Patrick S Callahan | Specialist/Technologist | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2014-05-06 |
1669616405 | Patrick March Callahan | Anesthesiology | 3705 Fifth Avenue, Pittsburgh, PA 15213-2536 | 2009-04-23 |
1376614875 | Patrick Joseph Callahan | Physical Therapist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2006-11-13 |
1447218060 | Patrick E Callahan | Anesthesiology | 100 Brown St, Chester River Hospital Center, Chestertown, MD 21620 | 2006-05-03 |
1972569481 | Patrick Callahan | Anesthesiology | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2006-04-24 |
1487616082 | Patrick F Callahan | Pediatrics | 8318 Arlington Blvd, Suite 250, Fairfax, VA 22031-5218 | 2006-04-06 |
Street Address |
HHD 1ST SPECIAL WARFARE TRAINING GROUP BUILDING D-2609, ARDENNES STREET |
City | FORT BRAGG |
State | NC |
Zip Code | 28310-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
Find all providers in zip 28310 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487828620 | Phillip James Atkinson | Psychologist | D-2004 Marion Street, Directorate of Psychological Applications, Fort Bragg, NC 28310-5200 | 2008-04-18 |
1356530711 | Brenda Pedraza | Psychologist | 117 La Bonneville Rd, Fort Bragg, NC 28307-3412 | 2007-10-22 |
1902994056 | Bruce Addison Moyer | Psychologist | D-2004 Marion St, Psychological Applications Directorate, Fort Bragg, NC 28310-0001 | 2006-10-11 |
1366415937 | Louie Morgan Banks IIi | Psychologist | Bldg D-2004, Fort Bragg, NC 28310 | 2006-02-13 |
1164064739 | Jennifer Anne Barry | Psychologist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2019-10-15 |
1679035000 | Cassandra Schimsa | Psychologist | 2817 Reilly St Bldg 4-3219, Fort Bragg, NC 28310-7324 | 2019-04-04 |
1992263982 | Geney Ann Hammett | Psychologist | 2817 Reilly Rd., Fort Bragg, NC 28310 | 2019-03-08 |
1326506734 | Brandi Marie Walker | Psychologist | 2817 Reilly St Bldg 4-3219, Fort Bragg, NC 28310-7324 | 2019-03-05 |
1255840302 | Amy Henninger | Psychologist | 2817 Reilly St, Fort Bragg, NC 28310-1000 | 2017-09-20 |
1043734833 | Lauren Day | Psychologist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2017-08-02 |
Find all providers in FORT BRAGG |
City | FORT BRAGG |
Zip Code | 28310 |
Please comment or provide details below to improve the information on DR. PATRICK EVAN CALLAHAN.
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.