Gwendolyn Caroline McLean, LIC AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

227943 Issued in MA

Practice address

2 Main St
Forever Young Skin Care and Medical Day Spa
Melrose, MA 02176-6100

Phone

(781) 665-3080

NPI assigned

May 31, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212192000000",
    "number": "1780842211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ELM ST",
            "address_2": "UNIT 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391405",
            "telephone_number": "617-803-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MAIN ST",
            "address_2": "FOREVER YOUNG SKIN CARE AND MEDICAL DAY SPA",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766100",
            "telephone_number": "781-665-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "GWENDOLYN",
        "middle_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "LIC AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2008-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "227943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa McGuire
• Mary-Helena McInerney
• Jonathan McKay
• Diane Elise McKinley
• Elizabeth McLean
• Jillian McNabb, DPT
• Courtney McNeil, NP
• Ellen E McPhail
• Melrose Center for Oral Health
• Melrose Dental Care, PC

• Acupuncturist in Melrose, MA
• Providers in Melrose, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2008; 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.