DR. PAUL CALLAGHAN (PSYD) – Clinical Neuropsychologist, NPI 1124189642
Clinical Neuropsychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,225 CLINICAL PSYCHOLOGIST in MI
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Provider Addresses for DR. PAUL CALLAGHAN (PSYD)
West Front Street, Traverse City, Grand Traverse County, Michigan, 49684, United States
STE F
TRAVERSE CITY, MI 496847943
Phone: (231) 935-8900
Fax: (231) 935-8901
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-07-15
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100715000750 | I | Clinical Psychologist | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 363 | 72 | $0 |
| 90832 | Psychotherapy, 30 minutes | 335 | 129 | $0 |
| 96133 | Evaluation of neuropsychological test, each additional hour | 219 | 72 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 115 | 115 | $0 |
| 96132 | Evaluation of neuropsychological test, first hour | 72 | 72 | $0 |
Insurance plans in this area (ZIP 49684)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | MI | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 452 | 110 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physician Assistant | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Therapist In Private Practice | MI | |
| Occupational Therapist In Private Practice | MI | |
| Physical Therapist In Private Practice | MI |
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