NPI Code Details Logo

NPI 1235280389

NPI 1235280389 : CLARE O'CALLAGHAN RN.C.S., ED.D : BOSTON, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235280389
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CLARE O'CALLAGHAN RN.C.S., ED.D
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/16/2007
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1601 WASHINGTON ST 
-----------------------------------------------------
    City                 |    BOSTON
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02118-1951
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    617-425-2000
-----------------------------------------------------
    Fax                  |    617-425-2043
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    42 OLD QUARRY DR 
-----------------------------------------------------
    City                 |    WEYMOUTH
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    02188-3867
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    781-337-2118
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103G00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Neuropsychologist
-----------------------------------------------------
    License Number       |    2024
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    163WP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
    License Number       |    121276
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.