NPIMap

Organization Active NPI

J. C. McCleod, M.D., Psychiatric, PLLC

  • Child & Adolescent Psychiatry Physician
  • Dothan, AL
National Provider Identifier
1245521384
Registry record updated Apr 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
25317 Issued in AL
Legal business name
J. C. MCCLEOD, M.D., PSYCHIATRIC, PLLC
Practice address
101 Medical Dr
Dothan, AL 36303-6903
Phone
(334) 702-7222
Fax
(334) 702-1944
NPI assigned
Apr 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2011

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

Authorized official

Name
Jerlyn C. McCleod, M.D.
Title
Owner
Phone
(334) 702-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 25317 AL Primary

Addresses

Primary practice location

101 Medical Dr
Dothan, AL 36303-6903

Mailing address

101 Medical Dr
Dothan, AL 36303-6903
Phone (334) 702-7222

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303603200000",
    "number": "1245521384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-702-7222",
            "fax_number": "334-702-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-702-7222",
            "fax_number": "334-702-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. C. MCCLEOD, M.D., PSYCHIATRIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-04-24",
        "status": "A",
        "authorized_official_last_name": "MCCLEOD",
        "authorized_official_first_name": "JERLYN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-702-7222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AL",
            "license": "25317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.