DR. GAYLE VINCENT CALLAHAN (NPI# 1538262191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538262191 |
| Entity Type | Individual |
| Full Name | DR. GAYLE VINCENT CALLAHAN |
| Other Name | DR. GAYLE GENEVIEVE VINCENT |
| Credential | PHD |
| Practice Address |
6615 N Big Hollow Rd Peoria IL 61615-2451 |
| Practice Telephone | 3096926622 |
| Practice Fax Number | 3096926952 |
| Mailing Telephone | 3096926622 |
| Mailing Fax Number | 3096926952 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers | |
| X | 103TS0200X |
Psychologist Specialization: School |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780895391 | Gayle L Callahan | Pharmacist | 2340 Arden Dr, Sarasota, FL 34232-3861 | 2007-05-24 |
| Street Address |
6615 N BIG HOLLOW RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358911 | Penelope A Ewbank | Allergy & Immunology | 6615 N Big Hollow Rd, Peoria, IL 61615 | 2005-09-30 |
| 1659886877 | Abby Lynn Mitchell | Social Worker | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2017-12-11 |
| 1154748747 | Tiffany Jordan | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615 | 2014-03-21 |
| 1043632524 | Kevin Siscoe | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2014-01-17 |
| 1205127784 | Barbara L Toohill | Psychologist | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2011-05-02 |
| 1336453364 | Trinity Hope Maston | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2010-08-02 |
| 1194973404 | Maggie Classen | Social Worker | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2008-08-29 |
| 1093932295 | Donna Sue Wasson | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2450 | 2007-04-19 |
| 1417053612 | Edgar Kobel Wolgamot IIi | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2451 | 2006-09-15 |
| 1992808554 | Amy E Forsberg | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615-2451 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139251 | Shirley Yang | Psychologist | 9165 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4847 | 2020-03-18 |
| 1619523479 | Emma Kathryn Bucher | Psychologist | 6615 N. Big Hollow Rd, Peoria, IL 61615-2451 | 2019-08-16 |
| 1164076709 | Dawn C Roberts | Psychologist | 4307 W Rustic Hollow Dr, Peoria, IL 61615-2430 | 2019-07-31 |
| 1548624950 | David Francis Adams | Psychologist | 7617 N Villa Wood Ln Ste 1, Peoria, IL 61614-1595 | 2016-04-12 |
| 1780050476 | Kaysha Richards | Psychologist | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2015-08-17 |
| 1528453826 | Robert Mastikian | Psychologist | 16165 N 83rd Ave Ste 200, Peoria, AZ 85382-5816 | 2015-04-02 |
| 1891122636 | William Barker | Psychologist | 900 Main St Ste 780, Peoria, IL 61602-1067 | 2013-10-10 |
| 1922359629 | Ashurina Ream | Psychologist | 20403 N Lake Pleasant Rd # 117-134, Peoria, AZ 85382-9702 | 2012-09-21 |
| 1093907180 | Amy L Kaminski | Psychologist | 7747 W Deer Valley Rd, Suite 255, Peoria, AZ 85382-2117 | 2007-08-13 |
| 1346462850 | Advanced Behavioral Health P C | Psychologist | 8600 Route 91, North, Suite 240, Peoria, IL 61615 | 2007-05-03 |
| Find all providers in PEORIA | ||||
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| 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.