Christopher Callan Bober, LP
NPI 1144599077ActiveIndividual· Psychologist, Clinical· Ferndale, MI
Psychologist, Clinical (LP) with Fairsky Foundation, practicing in Ferndale, Michigan. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist.
Overview
| NPI | 1144599077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LP |
| Sole proprietor | Yes |
| NPI issued | Dec 21, 2011 |
| Last updated in NPPES | Jul 11, 2023 |
| Certified by provider | Jul 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 6301018944 | MI |
| Psychologist, Clinical | 103TC0700X | P.08021 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MI); Practitioner - Clinical Psychologist (OH) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Fairsky FoundationFerndale, MI · 9 clinicians
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