Organization Active NPI

Michael McLean and Friends

  • Case Manager/Care Coordinator
  • Gainesville, FL
National Provider Identifier
1609029636
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MICHAEL MCLEAN AND FRIENDS
Practice address
1135 NW 23Rd Ave Ste P
Gainesville, FL 32609-3450
Phone
(352) 378-8286
Fax
(352) 378-4028
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Mr. Michael Bryan McLean
Title
Owner
Phone
(352) 378-8286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X FL Primary

Addresses

Primary practice location

1135 NW 23Rd Ave Ste P
Gainesville, FL 32609-3450

Mailing address

1135 NW 23Rd Ave
Ste P
Gainesville, FL 32609
Phone (352) 378-8286

Other identifiers 1

IdentifierTypeStateIssuer
693622900MedicaidFL

National Provider Directory

National Provider Directory

Locations

1135 NW 23rd Ave
Ste P
Gainesville, FL 32609
Phone (352) 378-8286

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1609029636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 NW 23RD AVE",
            "address_2": "STE P",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32609",
            "telephone_number": "352-378-8286",
            "fax_number": "352-378-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 NW 23RD AVE STE P",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093450",
            "telephone_number": "352-378-8286",
            "fax_number": "352-378-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MCLEAN AND FRIENDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-378-8286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693622900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.