CHRISTINE O'CALLAGHAN (NPI# 1437603859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437603859 |
| Entity Type | Individual |
| Full Name | CHRISTINE O'CALLAGHAN |
| Credential | 17665-130 |
| Practice Address |
1622 Chestnut St West Bend WI 53095-3014 |
| Mailing Address |
1971 Washington St Suite 200 Grafton WI 53024-2122 |
| Practice Telephone | 2623069800 |
| Practice Fax Number | 2623069802 |
| Mailing Telephone | 2623776276 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1622 CHESTNUT ST |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164438891 | Jason Jugan | Counselor | 1622 Chestnut St, West Bend, WI 53095-3014 | 2006-08-01 |
| 1710538871 | Paige Lorraine Flanagan | Counselor | 1622 Chestnut St, West Bend, WI 53095-3014 | 2019-09-20 |
| 1740840420 | Tyler W Secor | Counselor | 1622 Chestnut St, West Bend, WI 53095-3014 | 2019-06-16 |
| 1760957930 | Rebecca Schultz | Counselor | 1622 Chestnut St, West Bend, WI 53095-3014 | 2018-10-03 |
| 1053854778 | Katherine Sue Liaromatis | Clinic/Center | 1622 Chestnut St, West Bend, WI 53095-3014 | 2016-11-29 |
| 1144778705 | Jayne Hottenstein | Clinic/Center | 1622 Chestnut St, West Bend, WI 53095-3014 | 2016-09-13 |
| 1669772810 | Laura J Luebke | Counselor | 1622 Chestnut St, West Bend, WI 53095-3014 | 2010-10-21 |
| 1669701561 | Michael Owen | Counselor | 1622 Chestnut St, West Bend, WI 53095-3014 | 2009-12-24 |
| 1326374794 | Daniel L Baker | Counselor | 1622 Chestnut St, West Bend, WI 53095-3014 | 2009-10-20 |
| 1275712671 | Amy R. Schumann | Social Worker | 1622 Chestnut St, West Bend, WI 53095-3014 | 2007-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053854778 | Katherine Sue Liaromatis | Clinic/Center | 1622 Chestnut St, West Bend, WI 53095-3014 | 2016-11-29 |
| 1144778705 | Jayne Hottenstein | Clinic/Center | 1622 Chestnut St, West Bend, WI 53095-3014 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151439 | Tetzlaff & Myhre Psychotherapy and Assessments, LLC | Clinic/Center | N55w37178 Roland St, Oconomowoc, WI 53066-5321 | 2020-10-13 |
| 1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
| 1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
| 1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
| 1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHRISTINE O'CALLAGHAN.
| 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.