McLean Pediatric Associates, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101222693 Issued in VA

Legal business name

MCLEAN PEDIATRIC ASSOCIATES, INC.

Practice address

6711 Whittier Ave
Suite 101
McLean, VA 22101-4538

Phone

(703) 356-5722

Fax

(703) 734-3823

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lynette Kelly Taylor, CMOM

Title

Practice Administrator

Phone

(703) 356-5722

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adriana Lee, M.D

  • Pediatrics Physician
  • MC Lean, VA
  • NPI 1841681533
  NPD (past)
• Chau L Thiede, MD

  • Pediatrics Physician
  • McLean, VA
  • NPI 1598749228
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316140692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 WHITTIER AVE",
            "address_2": "SUITE 101",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221014538",
            "telephone_number": "703-356-5722",
            "fax_number": "703-734-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 WHITTIER AVE",
            "address_2": "SUITE 101",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221014538",
            "telephone_number": "703-356-5722",
            "fax_number": "703-734-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN PEDIATRIC ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-356-5722",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMOM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101222693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Alice McCormack-Chen, LCSW
• Pamela Mary McCurdy, M.D.
• Scott David McKinney, D.D.S.
• McLean Counseling Center
• McLean Immediate Care
• McLean Physical Therapy & Rehab Services, LLC.
• McLean Rhinoplasty
• Med Tel International Corporation
• Mehdi Adili DDS PC
• Karol Julianna Melero, PHARMD

• Specialist in McLean, VA
• Providers in McLean, VA by specialty
• Specialist in Virginia

• 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.