Active NPI
Gary Robert McClain, PH.D.
- Mental Health Counselor
- New York, NY
National Provider Identifier
1093815870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 000355-1
- Practice address
- 80 8TH Ave
Suite 315
New York, NY 10011-5126 - Phone
- (212) 227-0515
- Fax
- (212) 227-0517
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000355-1 | NY | Primary |
Addresses
Primary practice location
80 8TH Ave
Suite 315
New York, NY 10011-5126
Mailing address
61 Jane St
Apt. 8-H
New York, NY 10014-5107
Phone (212) 620-0503
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000355-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093815870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 JANE ST",
"address_2": "APT. 8-H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100145107",
"telephone_number": "212-620-0503",
"fax_number": "212-227-0517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 8TH AVE",
"address_2": "SUITE 315",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115126",
"telephone_number": "212-227-0515",
"fax_number": "212-227-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "GARY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000355-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.