P. DOUGLAS CALLAN & ASSOC LTD
NPI 1124233549
Psychologist - Clinical in Fenton, MI

Active since May 11, 2007
1361 N LONG LAKE RD, FENTON, MI 48430(810) 629-6549(810) 629-0614 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About P. Douglas Callan & Assoc Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

P. DOUGLAS CALLAN & ASSOC LTD (NPI 1124233549) is a healthcare organization registered as a clinical in Fenton, Michigan and active in the NPI registry since May 2007. The organization lists Paul Douglas Callan, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1124233549
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameP. DOUGLAS CALLAN & ASSOC LTD
Location Address1361 N LONG LAKE RDFenton, MI 48430-8867
Mailing Address1361 N Long Lake RdFenton, MI 48430-8867 · (810) 629-6549 · Fax (810) 629-0614
Fax(810) 629-0614
Organization SubpartNo
Authorized OfficialPaul Douglas CallanPsychologist · (810) 629-6549
Enumeration DateMay 11, 2007
Last NPPES UpdateMarch 14, 2013
NPI 1124233549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301002282
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1361 N LONG LAKE RD, Fenton, MI 48430

Other Identifiers 11

Other266552MI · Horizon
Other38741455MI · Tricare
Other8915160MI · Cigna
Other117163MI · Value Options
Other2050633MI · Cigna
Other248189MI · Mhn
OtherM036569MI · Champus
OtherP99889MI · Blue Care Network
Other680B54550-0MI · Blue Cross
OtherIP285944MI · Magellan
Medicare ID-Type UnspecifiedOM58660MI · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1361 N LONG LAKE RD
FENTON, MI 48430
Psychologist (Clinical)
1361 N LONG LAKE RD
FENTON, MI 48430
Family Medicine
1361 N LONG LAKE RD
FENTON, MI 48430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is P. Douglas Callan & Assoc Ltd's NPI number?

The NPI number for P. Douglas Callan & Assoc Ltd is 1124233549. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is P. Douglas Callan & Assoc Ltd located?

P. Douglas Callan & Assoc Ltd is located at 1361 N Long Lake Rd, Fenton, MI 48430. The listed phone number is (810) 629-6549.

What is P. Douglas Callan & Assoc Ltd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for P. Douglas Callan & Assoc Ltd was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.