NINA CALLAHAN (M.S., CF-SLP, TSSLD) – Speech-Language Pathologist, NPI 1871320127

NINA CALLAHAN (M.S., CF-SLP, TSSLD) is a healthcare provider. based in Saint clair shores, Michigan. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S., CF-SLP, TSSLD. They hold a License No. 7152001037 (MI). The NPI Number for NINA CALLAHAN (M.S., CF-SLP, TSSLD) is 1871320127

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
NINA CALLAHAN (M.S., CF-SLP, TSSLD)
NPI
1871320127
Phone
(586) 779-7610
Address
21000 E 12 MILE RD
Enumeration Date
18 September 2024
Last Update Date
10 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606793692
Graduation Year
2024 (2 years ago)
PAC ID
7719470590
Group Practice PAC ID
3678472016
Professional Enrollment ID
I20251201002140
Address ID
CT060300001FA263XXAVEX300

Contacts

Secure Messaging
ncallahan92466@direct.med.uchc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness95
Years active:1State licenses:1Other names

332 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MI

Provider Addresses for NINA CALLAHAN (M.S., CF-SLP, TSSLD)

  • 21000 E 12 MILE RD

    SAINT CLAIR SHORES, MI 480811116

    Phone: (586) 779-7610

    Type: Location

  • 263 Farmington Ave

    Farmington, CT 060308060

    Phone: (860) 679-2804

    Fax: (860) 679-1848

    Type: Location

  • 1115 West St

    Southington, CT 064896025

    Phone: (860) 679-2804

    Fax: (860) 679-1848

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-01

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251201002140IQualified Speech Language PathologistCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48081)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678472016View full group profile
NameSpecialtyState
N E U R O S U R G E R YNY
E N D O C R I N O L O G YVA
Orthopedic SurgeryCT
Orthopedic SurgeryCT
Endocrinology, Internal MedicineCT
Critical Care (Intensivists)CT
Hospitalist, Internal MedicineCT
Gynecological OncologyNY
Physician AssistantCT
Hand Surgery, Orthopedic SurgeryCT

Reviews

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Frequently asked questions

What NPI should I save for NINA CALLAHAN (M.S., CF-SLP, TSSLD)?
Save NPI 1871320127 if you need a stable reference for NINA CALLAHAN (M.S., CF-SLP, TSSLD).
Is NINA CALLAHAN (M.S., CF-SLP, TSSLD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does NINA CALLAHAN (M.S., CF-SLP, TSSLD) list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for NINA CALLAHAN (M.S., CF-SLP, TSSLD). Clinical services aligned with this taxonomy classification.
What location shows for NINA CALLAHAN (M.S., CF-SLP, TSSLD)?
We surface Saint Clair Shores, Michigan for NINA CALLAHAN (M.S., CF-SLP, TSSLD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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