Individual provider Active NPI

Eileen McClendon, M.S., M.F.T.

  • Marriage & Family Therapist
  • Milwaukee, WI
National Provider Identifier
1063676831
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3200 W Highland Blvd
Milwaukee, WI 53208-3252
Phone
(414) 342-4560
Fax
(414) 345-4934
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X WI Primary

Addresses

Primary practice location

3200 W Highland Blvd
Milwaukee, WI 53208-3252

Mailing address

3200 W Highland Blvd
Milwaukee, WI 53208-3252
Phone (414) 342-4560

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1063676831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W HIGHLAND BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083252",
            "telephone_number": "414-342-4560",
            "fax_number": "414-345-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W HIGHLAND BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532083252",
            "telephone_number": "414-342-4560",
            "fax_number": "414-345-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "M.S., M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.