Jacob P Callaway, CRC
Counselor, Mental Health in West Haven, Connecticut
1215795448- Practice location
- 950 Campbell Ave, West Haven, CT 06516-2770
- Phone
- 203-932-5711
- Fax
- —
- Last updated
- March 12, 2024
Jacob P Callaway is a Counselor, Mental Health based in West Haven, CT. Jacob P Callaway practices in West Haven, CT and has the professional credentials of CRC. The NPI Number for Jacob P Callaway is 1215795448. The current practice location address for Jacob P Callaway is 950 Campbell Ave, West Haven, CT 06516-2770 and can be reached out via phone at 203-932-5711.
Provider Profile Details
- NPI Number
- 1215795448
- Provider Name
- Jacob P Callaway
- Credential
- CRC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 950 Campbell Ave, West Haven, CT 06516-2770
- Phone Number
- 203-932-5711
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 12, 2024
- Last Update Date
- March 12, 2024
- Certification Date
- March 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 950 Campbell Ave
West Haven, CT 06516-2770 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-2770
- Phone Number
- 203-932-5711
Provider Business Mailing Address Details
- Address
- 287 Brainerd St
South Hadley, MA 01075-1701 - City
- South Hadley
- State
- MA
- Zip
- 01075-1701
- Phone Number
- 413-575-2183
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jacob P Callaway, CRC?
The NPI number of Jacob P Callaway, CRC is 1215795448. It was assigned on March 12, 2024 and is currently active in the NPPES registry.
What is the specialty of Jacob P Callaway, CRC?
Jacob P Callaway, CRC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jacob P Callaway, CRC practice?
The practice location is 950 Campbell Ave, West Haven, CT 06516-2770. The office can be reached at 203-932-5711 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215795448 directly on the NPPES registry website.