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KENNETH E CALLIS PHD
NPI 1316159114
Psychologist - Cognitive & Behavioral in Cape Girardeau, MO

Active since May 04, 2007
2751 THOMAS DR, CAPE GIRARDEAU, MO 63701(573) 334-2889(573) 651-9152 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth E Callis Phd NPPES

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

KENNETH E CALLIS PHD (NPI 1316159114) is an individual cognitive & behavioral provider in Cape Girardeau, Missouri, licensed in Missouri (00699) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1316159114
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameKENNETH E CALLISCredential: PHD
Location Address2751 THOMAS DRCape Girardeau, MO 63701-2131
Mailing Address2751 Thomas DrCape Girardeau, MO 63701-2131 · (573) 334-2889 · Fax (573) 651-9152
Phone(573) 334-2889
Fax(573) 651-9152
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316159114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MO · 00699
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
2751 THOMAS DR, Cape Girardeau, MO 63701
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Other Identifiers 1

Other4558MO · Bcbs

Other Providers at the Same Location NPPES 4

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

MRS. DIANA MARIE HAROLD LCSW
Counselor (Mental Health)
2751 THOMAS DR
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-2889
GRETCHIN DALE EMRICK APRN
Nurse Practitioner (Psychiatric/Mental Health)
2751 THOMAS DR
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-3486
MARY KATHLEEN PATTERSON LPC
Counselor (Professional)
2751 THOMAS DR
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-2889
MRS. DENISE E. ESSNER LCSW
Counselor (Mental Health)
2751 THOMAS DR
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-2889

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 Kenneth Callis's NPI number?

The NPI number for Kenneth Callis is 1316159114. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Kenneth Callis located?

Kenneth Callis practices at 2751 Thomas Dr, Cape Girardeau, MO 63701. The listed phone number is (573) 334-2889.

What is Kenneth Callis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Kenneth Callis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.