Active NPI
Michael Lee Barclay
- Adult Psychiatric/Mental Health Registered Nurse
- Philadelphia, PA
National Provider Identifier
1083338834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 95045824
- Practice address
- 1200 Intrepid Ave
Philadelphia, PA 19112-1229 - Phone
- (805) 528-5779
- NPI assigned
- Sep 26, 2022
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 95045824 | CA | Primary |
Addresses
Primary practice location
1200 Intrepid Ave
Philadelphia, PA 19112-1229
Mailing address
3184 Ocean Blvd
Cayucos, CA 93430
Phone (805) 400-9567
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95045824 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1083338834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3184 OCEAN BLVD",
"city": "CAYUCOS",
"state": "CA",
"postal_code": "93430",
"telephone_number": "805-400-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 INTREPID AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191121229",
"telephone_number": "805-528-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARCLAY",
"first_name": "MICHAEL",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "95045824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.