Ethan Mccallum, PHD
NPI 1851703110 · Psychologist · Plymouth, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Mccallum, PHD is a Psychologist provider in Plymouth, MN (NPI 1851703110).
Provider details
- NPI number
- 1851703110
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-21
- Last updated
- 2020-11-10
- Certified
- 2020-11-10
Frequently asked questions
- What is Ethan Mccallum's NPI number?
- Ethan Mccallum's National Provider Identifier (NPI) is 1851703110, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Mccallum's specialty?
- Ethan Mccallum is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Ethan Mccallum located?
- Ethan Mccallum's practice location on file with NPPES is 2855 Campus Dr Ste 400, Plymouth, MN 55441-2659.
- What is Ethan Mccallum's phone number?
- The practice phone number listed in the NPPES registry for Ethan Mccallum is (763) 577-7400.
- Does Ethan Mccallum accept Medicare?
- Ethan Mccallum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Mccallum's NPI active?
- Yes — Ethan Mccallum's NPI (1851703110) is active in the NPPES registry as of the last update on 2020-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.