Gwendolyn McLeod

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

GWENDOLYN MCLEOD

Doing business as

Successful Solutions LLC

Practice address

3015 W Dixie Blvd
Fort Pierce, FL 34946-1708

Phone

(772) 940-1632

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Gwendolyn D McLeod

Title

Owner

Phone

(772) 940-1632

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Successful Solutions LLC Doing business as

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1225481260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3852",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349483852",
            "telephone_number": "772-940-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 W DIXIE BLVD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349461708",
            "telephone_number": "772-940-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWENDOLYN MCLEOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-940-1632",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAHCA013Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Successful Solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leo Gutierrez, OTR/L
• Omali Gutierrez, BS
• Patricia A Gutierrez, BS
• Angela Guzenski
• GV Fort Pierce Opco LLC
• Michael B Gyimah, MD
• Diana Marie Hafner, HIS
• Joshua Dennis Hagan, MD
• Jordan P Hagans, APRN
• Jessica Dawn Hagerman, B.S.

• Developmental Disabilities Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.