Active NPI
Ayella Michelle Macleod, LCSW
- Clinical Social Worker
- Santa Cruz, CA
National Provider Identifier
1619435443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 87026
- Practice address
- 2850 Commercial Xing
Santa Cruz, CA 95065-1702 - Phone
- (831) 460-7350
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 87026 | CA | Primary |
Addresses
Primary practice location
2850 Commercial Xing
Santa Cruz, CA 95065-1702
Mailing address
2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87026 | Other | CA | LCSW |
Other names 1
- Ayella Michelle Breckler
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | macleoda@satellitehealth.com | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87026 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1619435443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W EL CAMINO REAL FL 2",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 COMMERCIAL XING",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651702",
"telephone_number": "831-460-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEOD",
"first_name": "AYELLA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "87026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "87026",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "macleoda@satellitehealth.com",
"affiliation": "N",
"endpointDescription": "macleoda@satellitehealth.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2850 Commercial Xing",
"city": "Santa Cruz",
"state": "CA",
"country_code": "US",
"postal_code": "950651702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AYELLA",
"last_name": "BRECKLER",
"middle_name": "MICHELLE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.