MICHAEL PATRICK MCCALLUM (NPI# 1023557865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023557865 |
| Entity Type | Individual |
| Full Name | MICHAEL PATRICK MCCALLUM |
| Credential | MS |
| Practice Address |
9320 Railroad Ave. Olive Branch MS 38654 |
| Practice Telephone | 6628931308 |
| Practice Fax Number | 6628931330 |
| Mailing Telephone | 6628931308 |
| Mailing Fax Number | 6628931330 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316910284 | Michael D Mccallum | Anesthesiology | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2006-02-09 |
| Street Address |
9320 RAILROAD AVE. |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| 1649612680 | Olive Branch Urgent Care #1 LLC | Clinic/Center | 5142 Goodman Road, Suite 107, Olive Branch, MS 38654 | 2013-07-18 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326598707 | Currissia Leakes | Counselor | 9885 Riggan Dr, Olive Branch, MS 38654-5120 | 2016-10-10 |
| 1669516266 | Robert L Scott | Counselor | 5600 Goodman Road, Suite B, Olive Branch, MS 38654 | 2007-02-16 |
| 1316318553 | Thomas Peterson | Counselor | 9320 Railroad Ave, Olive Branch, MS 38654-2416 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1356948277 | Tiffany Nicole Dear | Counselor | 28 Dobby Ln, Hattiesburg, MS 39402-7044 | 2020-10-04 |
| 1679184089 | Amy Danielle Styron | Counselor | 770 Golding Rd, Columbus, MS 39702-7866 | 2020-08-11 |
| 1871115089 | Bernard Anthony Matherne Jr. | Counselor | 226 Lowe Lane, Lucedale, MS 39452-4313 | 2020-05-11 |
| 1952953085 | David Jack Hale | Counselor | 4905 Telephone Rd, Pascagoula, MS 39567-1823 | 2019-07-09 |
| 1003472838 | Chameleon Davis | Counselor | 71 Sharkey Rd, Glendora, MS 38928-2531 | 2019-05-16 |
| 1255821666 | Ashley Hall | Counselor | 1989 Pass Rd Ste B, Biloxi, MS 39531-4103 | 2018-05-11 |
| 1194213132 | Alicia Nicole Danley | Counselor | 8900 Delta Bluff Cv, Walls, MS 38680-4400 | 2018-04-25 |
| 1235632696 | Impact Behavioral Counseling LLC | Counselor | 3600 Bluecutt Rd Ste 202, Columbus, MS 39705-1303 | 2018-03-13 |
| 1164923769 | Janice Lyons | Counselor | 1701 White St # 768, Mccomb, MS 39648-2711 | 2018-02-28 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on MICHAEL PATRICK MCCALLUM.
| 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.