Dr. Michael I Callis
Addiction Counselor (Substance Use Disorder) Health Service Clinical Psychologist
4610 Cherry Ave
Orcutt
, California 93455-3830
Dr. Michael I Callis
Addiction Counselor (Substance Use Disorder) Health Service Clinical Psychologist
4610 Cherry Ave
Orcutt
, California 93455-3830
(805) 868-0471
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Clinical Psychologist
- Health Service
Languages spoken
- English
Location
First Address
- Dr. Michael I Callis
- 4610 Cherry Ave
- Orcutt, CA
- Zip : 93455-3830
- Phone : (805) 868-0471
Second Address
- Dr. Michael I Callis
- 4610 Cherry Ave
- Orcutt, CA
- Zip : 93455-3830
- Phone : (805) 868-0471
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Is Dr. Michael I Callis a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 19292 | CA |
| Y | 103G00000X | Clinical Psychologist | 19292 | CA |
| Y | 103TC0700X | Clinical Psychologist | 19292 | CA |
| N | 103TH0100X | Health Service | 19292 | CA |
National Provider Identifier
| NPI | 1104156884 |
|---|---|
| Provider Name | Dr. Michael I Callis |
| First Address | Orcutt, CA 93455-3830 |
| Second Address | Orcutt, CA 93455-3830 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2010 |
| Last Update Date | 03/01/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.