Jaclyn Elizabeth Macchione, MOT, OTR/L

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

OC010862 Issued in PA

Practice address

475 Spring LN
Philadelphia, PA 19128-3918

Phone

(267) 350-5296

NPI assigned

Nov 14, 2018

Sex

Female

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

Practice roles

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.

• The Renfrew Centers, Inc.

  • Adult Mental Health Clinic/Center
  • Philadelphia, PA
  • NPI 1417971904
  NPD (past)

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1053880559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 ORELAND PL",
            "city": "ORELAND",
            "state": "PA",
            "postal_code": "190751114",
            "telephone_number": "267-785-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SPRING LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283918",
            "telephone_number": "267-350-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHIONE",
        "first_name": "JACLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "PA",
            "license": "OC010862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Rainey Macbeth, LMFT
• Kerryn Noelle Macbride, PA
• Rebecca Ann Bateman Macbride, PA-C
• Christina Elizabeth Maccari, LPC
• Miel Macchio, RN
• Mary Frances Maccormack-Suter, DNP, CRNP, AACC
• Katelyn Maccready, CRNP
• Ashley Macdavitt
• Marylou Macdermott, CRNP
• Brittany Macdonald, MD

• Mental Health Occupational Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.