Active NPI
Jonathan McClellan, RADT-1
- Addiction (Substance Use Disorder) Counselor
- Oceanside, CA
National Provider Identifier
1053950006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2122 S El Camino Real Ste 102
Oceanside, CA 92054-6209 - Phone
- (951) 448-8005
- NPI assigned
- Dec 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | Primary |
Addresses
Primary practice location
2122 S El Camino Real Ste 102
Oceanside, CA 92054-6209
Mailing address
2122 S El Camino Real Ste 102
Oceanside, CA 92054-6209
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.mhs.com | Health Information Exchange (HIE) | |
| CONNECT URL | Mhs.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576972800000",
"number": "1053950006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 S EL CAMINO REAL STE 102",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 S EL CAMINO REAL STE 102",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546209",
"telephone_number": "951-448-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLELLAN",
"first_name": "JONATHAN",
"name_prefix": "Mr.",
"credential": "RADT-1",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-22",
"last_updated": "2019-12-22",
"certification_date": "2019-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.mhs.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2122 S El Camino Real Ste 102",
"city": "Oceanside",
"state": "CA",
"country_code": "US",
"postal_code": "920546209",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Mhs.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2122 S El Camino Real Ste 102",
"city": "Oceanside",
"state": "CA",
"country_code": "US",
"postal_code": "920546209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.