McEt-Longview

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

MCET-LONGVIEW

Practice address

505 North Sixth Street
Longview, TX 75602

Phone

(903) 520-4710

NPI assigned

Jan 9, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Robert Jacobs

Title

Program Director

Phone

(903) 520-4710

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1083150569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 9958",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75608",
            "telephone_number": "903-520-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NORTH SIXTH STREET",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75602",
            "telephone_number": "903-520-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCET-LONGVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "903-520-4710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn A McDonald, MD
• John McDonald, DO
• Kassey Marie McDonald, LPC
• Kayln Breanne McDonald, NP
• Meagan Allissa McDonald, RN, MSN, AGNP-C
• Donna McFarland, LPC
• Yashica McFarland
• Laura Beth McGaughey, PHD, LPC-S
• Leslie McGaughey, MSN, APRN, AGACNP-BC
• Mary Katherine McGee, MD

• Methadone Clinic in Longview, TX
• Providers in Longview, TX by specialty
• Methadone Clinic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.