McBride Hair Restoration LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

046491 Issued in CT

Legal business name

MCBRIDE HAIR RESTORATION LLC

Practice address

211 Park Rd
Lower Level
West Hartford, CT 06119-2014

Phone

(860) 985-2081

NPI assigned

Aug 3, 2012

Last updated

Aug 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donyelle McBrideNPI 1407923725

Title

Owner

Phone

(960) 985-2081

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donyelle Vonise McBride

  • Specialist
  • West Hartford, CT
  • NPI 1407923725
  NPD (past) Authorized official

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1740537174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PARK RD",
            "address_2": "LOWER LEVEL",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192014",
            "telephone_number": "860-985-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PARK RD",
            "address_2": "LOWER LEVEL",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192014",
            "telephone_number": "860-985-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBRIDE HAIR RESTORATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DONYELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "960-985-2081"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "046491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Mattesen
• Celeste E Mattingly, LCSW
• John E Matuszewski, PHD
• Therese May, CCC-SLP
• Peyton Mayzel, LPC
• Donyelle Vonise McBride
• Wendy McCabe, P.T.
• Katherine McCarthy-Nowak, PHARM.D.
• Kaitlyn McCarthy, PHARMD
• Drew Elizabeth McClintock

• Durable Medical Equipment & Medical Supplies in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.