Active NPI
Wendy McDonald PC
- Clinical Social Worker
- Bryan, TX
National Provider Identifier
1770909434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 32609
- Legal business name
- WENDY MCDONALD PC
- Practice address
- 207 Sulphur Springs Rd
Bryan, TX 77801-3134 - Phone
- (979) 846-8600
- Fax
- (866) 214-0222
- NPI assigned
- Mar 5, 2014
- 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
- Mrs. Wendy McDonald, LCSW
- Title
- President
- Phone
- (979) 846-8600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 32609 | TX | Primary |
Addresses
Primary practice location
207 Sulphur Springs Rd
Bryan, TX 77801-3134
Mailing address
207 Sulphur Springs Rd
Bryan, TX 77801-3134
Phone (979) 846-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154728301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Wendy McDonald PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Bryan, TX
- NPI 1942466776
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bryan, TX
- NPI 1043315237
-
- Psychologist
- McAllen, TX
- NPI 1639458284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466985600000",
"number": "1770909434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 SULPHUR SPRINGS RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778013134",
"telephone_number": "979-846-8600",
"fax_number": "866-214-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 SULPHUR SPRINGS RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "778013134",
"telephone_number": "979-846-8600",
"fax_number": "866-214-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WENDY MCDONALD PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-05",
"last_updated": "2016-06-27",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-846-8600",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "32609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154728301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.