MEDICARE: CAITLIN MCCALL-RHODES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	136682	CA

General Provider Information

NPI Number	:	1497356497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN MCCALL-RHODES

Provider Business Mailing Address
First Line	:	417 W MAPLE AVE STE 104
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72764-5333
Country	:	US
Telephone Number	:	805-209-4473
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BOARDWALK AVE STE 210
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-5766
Country	:	US
Telephone Number	:	805-209-4473
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	06/05/2026

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