Ethan McCallum, PHD
Psychologist · Plymouth, MN
Ethan McCallum, PHD is a psychologist with a practice address in Plymouth, Minnesota, and NPI 1851703110, issued on May 21, 2014. Check the license with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ethan McCallum
- Credential
- PHD
- Primary taxonomy
- Psychologist 103T00000X
- Practice location
- 2855 Campus Dr Ste 400, Plymouth, MN 55441
- Phone
- (763) 577-7400
- Enumerated
- May 21, 2014
- Record last updated
- Nov 10, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (763) 236-2650
- Medicare enrollment
- Enrolled (PECOS I20170826000020); accepts Medicare assignment
- Medical or professional school
- University Of Missouri, Kansas City, School Of Medicine, 2013
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest psychologist records → All 1,694 in Minnesota → Look up another NPI →
Also registered at 2855 Campus Dr Ste 400
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Ethan McCallum in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 83.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Allina Health SystemAnnandale, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ethan McCallum among 1,694 psychologist records in Minnesota
Ethan McCallum, PHD is one of 1,694 psychologist records with a practice address in Minnesota. 22% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 75% of them.
- NPI issued2014 · 75% of these records are older, 23% newer
- In a Medicare fileYes · 22% of these records are
- In the CMS Doctors and Clinicians fileYes · 25% of these records are
- Graduated2013 · median 2007 among the 427 with a school on file
- Record last updated2020 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103T00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Psychologist providers in Minnesota
There are 1,694 psychologist records in Minnesota.
All 1,694 in Minnesota → Every provider in Plymouth → Psychologist nationwide →
The 8 psychologist records with the nearest ZIP codes
- Lana Abboud, PSYD, LP, MAC L.AC,Plymouth, MN 554411316340128
- Teresa Boatman, PHD, LPPlymouth, MN 554411083770101
- Susan Broadwell, MA.PSY.D.Plymouth, MN 554411740300078
- Philip Klees, PH.D.Plymouth, MN 554411558541987
- Sarah Law, LPPlymouth, MN 554411821542697
- Kerry Olson-Anderson, M.A., L.P.Plymouth, MN 554411285706473
- Nancy Slothower, PHDPlymouth, MN 554411245293307
- Gail Thoen, PH.D.Plymouth, MN 554411063631695
Common questions
What is Ethan McCallum, PHD's NPI number?
Ethan McCallum, PHD's National Provider Identifier (NPI) is 1851703110, issued on May 21, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Ethan McCallum, PHD located?
The NPPES record lists a practice address at 2855 Campus Dr Ste 400, Plymouth, MN, 55441. Phone: (763) 577-7400. Providers update this record themselves, so call before visiting.
How can I verify Ethan McCallum, PHD's license?
Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
What is Ethan McCallum, PHD's MIPS final score?
The 2023 MIPS final score is 83.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.