Organization Active NPI

MCL Medical Consulting Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Manalapan, NJ
National Provider Identifier
1366036113
Registry record updated Aug 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MCL MEDICAL CONSULTING INC.
Practice address
660 Tennent Rd Ste 102
Manalapan, NJ 07726-3163
Phone
(848) 207-2476
Fax
(848) 207-2647
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2022

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

Authorized official

Name
Lee Ann Colleton, APNNPI 1912276692
Title
Owner
Phone
(848) 207-2476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

660 Tennent Rd Ste 102
Manalapan, NJ 07726-3163

Mailing address

7 Avalon LN
Manalapan, NJ 07726-4157
Phone (848) 207-2476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422000066 NJ Part B Supplier - Clinic/Group Practice 6002224581 Receives reassigned benefits from 1 practitioner
Practice locations: Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

4695 US Highway 9
Ste 3
Howell, NJ 07731
Phone (732) 370-4855

660 Tennent Rd
Ste 102
Manalapan, NJ 07726
Phone (732) 993-3398

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661558400000",
    "number": "1366036113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 AVALON LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077264157",
            "telephone_number": "848-207-2476",
            "fax_number": "848-207-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 TENNENT RD STE 102",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263163",
            "telephone_number": "848-207-2476",
            "fax_number": "848-207-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCL MEDICAL CONSULTING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A",
        "authorized_official_last_name": "COLLETON",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-207-2476",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2022; 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.