Montinique Denice McEachern, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001720 Issued in NY

Practice address

3828 Lancaster Ave FL 1
Philadelphia, PA 19104-2355

Phone

(315) 443-3023

NPI assigned

Jun 2, 2021

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1639745409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 LORRAINE AVE APT 3",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132103257",
            "telephone_number": "315-443-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 LANCASTER AVE FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042355",
            "telephone_number": "315-443-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEACHERN",
        "first_name": "MONTINIQUE",
        "middle_name": "DENICE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3828 Lancaster Ave Fl 1",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191042355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maurica E McDougale, LCSW
• Amy McDougall
• Carey McDougall, M.S.
• Abby Grace McDowell
• Malinda McDuffie, MS
• Shaila McEady, BS
• James McEldrew IV, DO
• William F. McElhaugh, D.O.
• Heather Renee McElroy, M.D.
• Meredith McElroy, MOT, OTR/L

• Marriage & Family Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.