DR. CHRISTOPHER CALLAN BOBER (LP) – Psychologist, NPI 1144599077

DR. CHRISTOPHER CALLAN BOBER (LP) is a healthcare provider. based in Lakewood, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials LP. They hold a License No. P.08021 (OH). The NPI Number for DR. CHRISTOPHER CALLAN BOBER (LP) is 1144599077

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHRISTOPHER CALLAN BOBER (LP)
NPI
1144599077
Phone
(248) 635-2604
Address
1367 ANDREWS AVE
Enumeration Date
21 December 2011
Last Update Date
11 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485818777
Graduation Year
2019 (7 years ago)
PAC ID
3274926985
Group Practice PAC ID
2769775386
Professional Enrollment ID
I20220324001188
Address ID
MI482201361FE23231AVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. CHRISTOPHER CALLAN BOBER (LP)

  • 1367 ANDREWS AVE

    LAKEWOOD, OH 441072405

    Phone: (248) 635-2604

    Type: Mailing

  • 1367 Andrews Ave Lowr

    Lakewood, OH 441072405

    Phone: (248) 581-8777

    Fax: (888) 975-9374

    Type: Location

  • 23231 WOODWARD AVE

    FERNDALE, MI 482201361

    Phone: (248) 581-8777

    Fax: (888) 975-9374

    Type: Mailing

  • 24500 CENTER RIDGE RD

    WESTLAKE, OH 441455601

    Phone: (440) 899-1300

    Fax: (440) 899-0266

    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: 2022-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220201002160IClinical PsychologistOHTBD
I20220324001188IClinical PsychologistMITBD

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 44107)

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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: 2769775386View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerFL
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the standard ID for DR. CHRISTOPHER CALLAN BOBER (LP) in the U.S.?
In the U.S., DR. CHRISTOPHER CALLAN BOBER (LP) is identified by NPI 1144599077.
Does the public listing show DR. CHRISTOPHER CALLAN BOBER (LP) as active?
DR. CHRISTOPHER CALLAN BOBER (LP)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. CHRISTOPHER CALLAN BOBER (LP)?
NPPES ties DR. CHRISTOPHER CALLAN BOBER (LP) to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. CHRISTOPHER CALLAN BOBER (LP) tied to Lakewood, Ohio?
If you are local to Lakewood, Ohio, DR. CHRISTOPHER CALLAN BOBER (LP) may be relevant to your search.
Who maintains DR. CHRISTOPHER CALLAN BOBER (LP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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