Wakelin McNeel III MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G78933 Issued in CA

Legal business name

WAKELIN MCNEEL III MD

Practice address

4619 Rosemead Blvd
Rosemead, CA 91770-1478

Phone

(626) 286-1191

Fax

(626) 332-6587

NPI assigned

Jun 21, 2007

Organization subpart

Yes

Parent organization

CENTER FOR HEALTHY LIVING MEDICALAs reported in NPPES

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

Authorized official

Name

Dr. Wakelin McNeel, M.D.NPI 1730192931

Title

Psychiatrist

Phone

(626) 332-0556

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Wakelin McNeel III MD

Practitioners 1

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.

• Wakelin McNeel III

  • Psychiatry Physician
  • Rosemead, CA
  • NPI 1730192931
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1235335928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 TERRADO PLZ",
            "address_2": "STE 40",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233419",
            "telephone_number": "626-332-0556",
            "fax_number": "626-332-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 ROSEMEAD BLVD",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701478",
            "telephone_number": "626-286-1191",
            "fax_number": "626-332-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKELIN MCNEEL III MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR HEALTHY LIVING MEDICAL",
        "enumeration_date": "2007-06-21",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "MCNEEL",
        "authorized_official_first_name": "WAKELIN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "626-332-0556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G78933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G789330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.