Organization Active NPI

McCain, LLC

  • Specialist
  • Detroit, MI
National Provider Identifier
1750672606
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6301008988 Issued in MI
Legal business name
MCCAIN, LLC
Practice address
2141 E Jefferson Ave
Suite LL 1
Detroit, MI 48207-4128
Phone
(313) 952-1963
Fax
(313) 331-9566
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Dr. Annette McCain, PHD,LPC,LLP,DOT-SAPNPI 1689709107
Title
President/Ceo
Phone
(313) 952-1963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 6301008988 MI Primary

Addresses

Primary practice location

2141 E Jefferson Ave
Suite LL 1
Detroit, MI 48207-4128

Mailing address

PO Box 441381
Detroit, MI 48244-1381
Phone (313) 952-1963

National Provider Directory

National Provider Directory
Tax ID family
McCain LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2141 E Jefferson Ave
Ste 1
Detroit, MI 48207
Phone (313) 952-1963

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1750672606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441381",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482441381",
            "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",
            "address_2": "SUITE LL 1",
            "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": "2011-04-27",
        "last_updated": "2011-04-27",
        "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,LLP,DOT-SAP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "6301008988",
            "primary": true
        }
    ],
    "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 27, 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.

Verify at the official NPI Registry.