Donovan C McLeod

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

L000000026251 Issued in TN

Practice address

4704 Kenwood Ave
Chattanooga, TN 37411-3805

Phone

(423) 505-7866

NPI assigned

Mar 14, 2021

Last updated

Mar 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The McLeod Home Inc.

  • Private Vehicle
  • Chattanooga, TN
  • NPI 1013450964

  Community Based Residential Treatment Facility, Mental Illness

  NPD (past)

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1619552304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80925",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374147925",
            "telephone_number": "423-505-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 KENWOOD AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113805",
            "telephone_number": "423-505-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "DONOVAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": "L000000026251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily McLeary, PHARMD
• Patricia E McLelland, M.D.
• Pauline B McLemore, LPC
• Jessica Anne McLendon, PA-C
• Catherine Hammond McLeod, LICENSED CLINICAL SO
• Latoya McLeod, CTRS, LCSW
• MCM Rehabilitation LLC
• MCM Rehabilitation, LLC. (ATI Physical Therapy)
• Courtney Grace McMahan, RD, LDN
• Katarina McMahan

• Mental Illness Community Based Residential Treatment Facility in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.