McGill Center for Independent Living LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MCGILL CENTER FOR INDEPENDENT LIVING LLC

Practice address

920 Southlakes Way SW
Vero Beach, FL 32968-7526

Phone

(772) 559-7349

NPI assigned

Apr 15, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Laura Ann McGill, BCBA

Title

Ceo

Phone

(772) 559-7349

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492214400000",
    "number": "1780118836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SOUTHLAKES WAY SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329687526",
            "telephone_number": "772-559-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SOUTHLAKES WAY SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329687526",
            "telephone_number": "772-559-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGILL CENTER FOR INDEPENDENT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-15",
        "last_updated": "2017-04-15",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-559-7349",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018612500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamia Antionette McEwen, CRPS
• Rebeckka McFarlane, RBT
• Beth Ella McGarry, RN
• William T McGarry, M.D.
• Alicia McGee
• Carolynn McGillicuddy, MS
• Caitlyn McGinley, PTA
• Katelin McGinnis, R.D
• Patrick Bryan McGinnis, PHD, LMHC
• Scott R McGlynn, M.D.

• Community/Behavioral Health Agency in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; 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.