Brooke Megan McClelland, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

18249 Issued in CA

Practice address

1840 Embarcadero
Oakland, CA 94606-5220

Phone

(510) 463-4304

NPI assigned

Mar 26, 2019

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

Electronic endpoints 1

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 and National Provider Directory roles.

• Root & Stem Integrative Chinese Medicine

  • Acupuncturist
  • Oakland, CA
  • NPI 1134679533
  NPD (past)

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1639630411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 7TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063633",
            "telephone_number": "510-410-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 EMBARCADERO",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065220",
            "telephone_number": "510-463-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "BROOKE",
        "middle_name": "MEGAN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "18249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brooke@oaklandrootandstem.com",
            "affiliation": "N",
            "address_1": "3515 Grand Ave",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946102037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• De Vont'E McClain
• Tina Marie McClain, CADC-1
• Corinne Michele McClaughry, MD
• Harry McCleary
• Theresa McCleary, NP
• Kathleen Hamilton McClelland, M.A.
• Melina McClelland
• Patrick E. McCleskey, MD
• Andrew McClintock Greenberg, M.D., PHD.
• Kevin McClintock, ATC

• Acupuncturist in Oakland, CA
• Providers in Oakland, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.