Active NPI
Alexandra B McLean, MD
- Addiction Psychiatry Physician
- Wayne, PA
National Provider Identifier
1386650463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- MD057719L
- Practice address
- 150 Stafford Avenue - BLDG. 1 - 2ND Floor
Suite 210
Wayne, PA 19087-3114 - Phone
- (610) 896-9870
- Fax
- (610) 896-9871
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | MD057719L | PA | Primary |
Addresses
Primary practice location
150 Stafford Avenue - BLDG. 1 - 2ND Floor
Suite 210
Wayne, PA 19087-3114
Mailing address
150 Stafford Avenue - BLDG. 1 - 2ND Floor
Suite 210
Wayne, PA 19087-3114
Phone (610) 896-9870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001671627 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2020 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1386650463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 STAFFORD AVENUE - BLDG. 1 - 2ND FLOOR",
"address_2": "SUITE 210",
"city": "WAYNE",
"state": "PA",
"postal_code": "190873114",
"telephone_number": "610-896-9870",
"fax_number": "610-896-9871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 STAFFORD AVENUE - BLDG. 1 - 2ND FLOOR",
"address_2": "SUITE 210",
"city": "WAYNE",
"state": "PA",
"postal_code": "190873114",
"telephone_number": "610-896-9870",
"fax_number": "610-896-9871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "ALEXANDRA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "PA",
"license": "MD057719L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001671627",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.