Active NPI
Scott Alan McClung, MFT
- Marriage & Family Therapist
- San Jacinto, CA
National Provider Identifier
1174655906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 34485
- Practice address
- 950 N Ramona BLV
#2
San Jacinto, CA 92582 - Phone
- (951) 487-2674
- Fax
- (951) 487-2679
- NPI assigned
- Mar 9, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 34485 | CA | Primary |
Addresses
Primary practice location
950 N Ramona BLV
#2
San Jacinto, CA 92582
Mailing address
950 N Ramona BLV
#2 Mt San Jacinto Mental Health
San Jacinto, CA 92582
Phone (951) 487-2674
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 |
|---|---|---|---|
| MFC 34485 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E&T Behavioral Advisory | Past | Accepting new patients | |
| County of Riverside | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- San Jacinto, CA
- NPI 1659738813
-
- Child & Adolescent Psychiatry Physician
- San Jacinto, CA
- NPI 1083983944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1174655906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N RAMONA BLV",
"address_2": "#2 MT SAN JACINTO MENTAL HEALTH",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "92582",
"telephone_number": "951-487-2674",
"fax_number": "951-487-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N RAMONA BLV",
"address_2": "#2",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "92582",
"telephone_number": "951-487-2674",
"fax_number": "951-487-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUNG",
"first_name": "SCOTT",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 34485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.