Individual provider Active NPI

Michael McClinton, CADC, BS, AAS, MCM

  • Addiction (Substance Use Disorder) Counselor
  • Paramus, NJ
National Provider Identifier
1033674643
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37CA00099700 Issued in NJ
Practice address
4 Forest Ave Ste 201
Paramus, NJ 07652-5214
Phone
(201) 565-2920
Fax
(201) 654-0020
NPI assigned
Feb 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37CA00099700 NJ Primary

Addresses

Primary practice location

4 Forest Ave Ste 201
Paramus, NJ 07652-5214

Mailing address

4 Forest Ave Ste 201
Paramus, NJ 07652-5214
Phone (201) 565-2920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Associate of Applied Science, Bachelor of Science

State licenses

LicenseStateTypeSpecialty
37CA00099700NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Recovery, Inc. Current Accepting new patients

Locations

4 Forest Ave
Ste 201
Paramus, NJ 07652
Phone (201) 562-3483

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1033674643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE STE 201",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525214",
            "telephone_number": "201-565-2920",
            "fax_number": "201-654-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE STE 201",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525214",
            "telephone_number": "201-565-2920",
            "fax_number": "201-654-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTON",
        "first_name": "MICHAEL",
        "credential": "CADC, BS, AAS, MCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37CA00099700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.