NPIMap

Organization Active NPI

Leslie G Macauley MD PC

  • Psychiatry Physician
  • East Lansing, MI
National Provider Identifier
1194795187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301062299 Issued in MI
Legal business name
LESLIE G MACAULEY MD PC
Doing business as
Leslie G Macauley MD PC
Practice address
4970 Northwind Dr
Suite 220
East Lansing, MI 48823-5080
Phone
(517) 333-7115
Fax
(517) 333-6771
NPI assigned
Jan 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leslie Greene MacauleyNPI 1902981103
Title
Medical Director
Phone
(517) 333-7115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301062299 MI Primary

Addresses

Primary practice location

4970 Northwind Dr
Suite 220
East Lansing, MI 48823-5080

Mailing address

PO Box 428
611 Court Street
West Branch, MI 48661-0428
Phone (877) 595-1090

Other identifiers 1

IdentifierTypeStateIssuer
4455930MedicaidMI

Other names 1

  • Leslie G Macauley MD PC Doing business as

National Provider Directory

National Provider Directory

Locations

4970 Northwind Dr
Ste 220
East Lansing, MI 48823
Phone (517) 332-3557

5020 Northwind Dr
Ste 101
East Lansing, MI 48823
Phone (517) 332-6300

5030 Northwind Dr
Ste 101
East Lansing, MI 48823
Phone (517) 204-7979

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194795187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "address_2": "611 COURT STREET",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486610428",
            "telephone_number": "877-595-1090",
            "fax_number": "989-345-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4970 NORTHWIND DR",
            "address_2": "SUITE 220",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235080",
            "telephone_number": "517-333-7115",
            "fax_number": "517-333-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE G MACAULEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACAULEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "GREENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "517-333-7115",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301062299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4455930",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leslie G Macauley MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.