Active NPI
McCain, LLC
- Clinical Psychologist
- Detroit, MI
National Provider Identifier
1679863856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301008988
- Legal business name
- MCCAIN, LLC
- Practice address
- 2141 E Jefferson Ave Ste LL1
Detroit, MI 48207-4128 - Phone
- (313) 952-1963
- Fax
- (313) 331-9566
- NPI assigned
- Apr 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Annette McCain, PHD, LPC, MA, LLP
- Title
- President/Ceo
- Phone
- (313) 952-1963
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401002550 | MI | |
| Professional Counselor | 101YP2500X | 6401002550 | MI | |
| Psychoanalyst | 102L00000X | 6301008988 | MI | |
| Psychologist | 103T00000X | 6301008988 | MI | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 6301008988 | MI | |
| Adult Development & Aging Psychologist | 103TA0700X | 6301008988 | MI | |
| Clinical Psychologist | 103TC0700X | 6301008988 | MI | Primary |
| Counseling Psychologist | 103TC1900X | 6301008988 | MI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6401002550 | MI | |
| Family Psychologist | 103TF0000X | 6301008988 | MI | |
| Forensic Psychologist | 103TF0200X | 6301008988 | MI | |
| Health Service Psychologist | 103TH0100X | 6301008988 | MI | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 6301008988 | MI | |
| Psychoanalysis Psychologist | 103TP0814X | 6301008988 | MI | |
| Marriage & Family Therapist | 106H00000X | 6301008988 | MI |
Addresses
Primary practice location
2141 E Jefferson Ave Ste LL1
Detroit, MI 48207-4128
Mailing address
2141 E Jefferson Ave Ste LL1
Detroit, MI 48207-4128
Phone (313) 952-1963
National Provider Directory
National Provider Directory- Tax ID family
- McCain LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Detroit, MI
- NPI 1750672606
Locations
2141 E Jefferson Ave
Ste LL1
Detroit, MI 48207
Phone (313) 952-1963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302307200000",
"number": "1679863856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 E JEFFERSON AVE STE LL1",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074128",
"telephone_number": "313-952-1963",
"fax_number": "313-331-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 E JEFFERSON AVE STE LL1",
"city": "DETROIT",
"state": "MI",
"postal_code": "482074128",
"telephone_number": "313-952-1963",
"fax_number": "313-331-9566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCAIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-09",
"last_updated": "2011-04-09",
"status": "A",
"authorized_official_last_name": "MCCAIN",
"authorized_official_first_name": "ANNETTE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "313-952-1963",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LPC, MA, LLP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401002550",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401002550",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychoanalyst",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Adult Development & Aging",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301008988",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6401002550",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Psychoanalysis",
"state": "MI",
"license": "6301008988",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "MI",
"license": "6301008988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.