Patrick Burke McDade

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18895 Issued in NC

Practice address

3708 Lyckan Pkwy Ste 205
Durham, NC 27707-2586

Phone

(919) 514-3566

NPI assigned

Apr 2, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1013769215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 BRIGADOON DR APT 21",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063071",
            "telephone_number": "919-417-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 LYCKAN PKWY STE 205",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072586",
            "telephone_number": "919-514-3566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2806 Brigadoon Dr Apt 21",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276063071",
            "country_code": "US",
            "telephone_number": "919-417-3615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDADE",
        "first_name": "PATRICK",
        "middle_name": "BURKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooks McCuen, M.D.
• Scott V McCulloch, M.D.
• Tyler Duncan McCulloch, MD
• Stephanie Williams McCullum, REGISTERED DIETITIAN
• Dayanita Patil McCutcheon
• Lee Davis McDaniel Jr.
• Jaime McDermott, ACNP-BC
• Margaret Lee McDermott, L.C.S.W.
• Varnell D McDonald-Fletcher
• Allison Marie McDonald, PT, DPT

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.