Mark R McClung MD PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

MD0032789 Issued in WA

Legal business name

MARK R MCCLUNG MD PC

Practice address

1200 5TH Ave
Suite 2010
Seattle, WA 98101-3132

Phone

(206) 728-5878

Fax

(206) 728-5876

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mark R McClung, M.D.

Title

Owner

Phone

(206) 728-5878

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.

• Barbara J. Graham, PH.D.

  • Clinical Psychologist
  • Mill Creek, WA
  • NPI 1528390424
  NPD (past)
• James F. Roark Jr., M.D.

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1629138433
  NPD (past)

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1376812131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 5TH AVE",
            "address_2": "SUITE 2010",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013132",
            "telephone_number": "206-728-5878",
            "fax_number": "206-728-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 5TH AVE",
            "address_2": "SUITE 2010",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013132",
            "telephone_number": "206-728-5878",
            "fax_number": "206-728-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R MCCLUNG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "MCCLUNG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-728-5878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "MD0032789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a. Freeman Jeffrey a. Short PLLC
• Mark C Svore DDS
• Mark David Balter OD, PS
• Mark Ellestad, MD - Psychiatric Services, PLLC
• Mark Germack DDS PLLC
• Mark R. Grace, D.D.S., PLLC
• Mark S. Jyringi, DC, PS
• Mark Stahl, DDS, PS
• Mark Waind DDS, PS
• Alastair John Mark

• Mental Health Clinic/Center (Including Community Mental Health Center) in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.