Mandy Elizabeth McClister

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

208667 Issued in TX

Practice address

3434 Watters Rd
Pasadena, TX 77504-2015

Phone

(281) 941-9155

NPI assigned

Aug 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1609357516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 PINE MOSS CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775818819",
            "telephone_number": "281-941-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 WATTERS RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042015",
            "telephone_number": "281-941-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLISTER",
        "first_name": "MANDY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "208667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LONG TERM CARE",
            "identifier": "208667",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MBH System LLC
• Jennifer McBroom, LVN
• Colleen McCabe, RN
• Tonya McCarley, PT
• Melody McClain
• McCord & Culpepper DDS Inc
• Lindy Upton McGee, M.D.
• Kimberly Jean McGough, PH.D., LPC
• Mark T McGrath, D.D.S.
• McKinney Podiatric Associates PA

• Occupational Therapy Assistant in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.