Active NPI
Michael R MC Allister, DO
- Psychiatry Physician
- Lititz, PA
National Provider Identifier
1427048370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS005523L
- Practice address
- 630 Speedwell Forge Rd
Lititz, PA 17543-9484 - Phone
- (215) 534-9077
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS005523L | PA | Primary |
Addresses
Primary practice location
630 Speedwell Forge Rd
Lititz, PA 17543-9484
Mailing address
630 Speedwell Forge Rd
Lititz, PA 17543-9484
Phone (215) 534-9077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS005523L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1427048370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 SPEEDWELL FORGE RD",
"city": "LITITZ",
"state": "PA",
"postal_code": "175439484",
"telephone_number": "215-534-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 SPEEDWELL FORGE RD",
"city": "LITITZ",
"state": "PA",
"postal_code": "175439484",
"telephone_number": "215-534-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC ALLISTER",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "OS005523L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lititz, PA
- Esther F Mast, CNM
- Matthew J. Link, O.D. LLC (Jacobson Eyecare)
- Emily Miranda May, CRNP
- Maybrook-P Audubon Opco, LLC (The Gardens at Lititz)
- Andrew C Mayfield, MSN, CRNP
- Rachael Lynn McCormack, M.ED., LAT, ATC, PES
- Kathryn McCormick, CNM
- Terri Ann McCormick, CNM
- Hayden Scott McDevitt, DPT
- Alexis McElwee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.