William Macleod & Gael Macleod PTR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6004 Issued in FL

Legal business name

WILLIAM MACLEOD & GAEL MACLEOD PTR

Practice address

4601 W Kennedy Blvd
Suite 206
Tampa, FL 33609-2500

Phone

(813) 288-8010

Fax

(813) 288-8030

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Gael Stephanie Macleod, LMHC, CAP

Title

Owner

Phone

(813) 288-8010

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1871790949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 W KENNEDY BLVD",
            "address_2": "SUITE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092500",
            "telephone_number": "813-288-8010",
            "fax_number": "813-288-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W KENNEDY BLVD",
            "address_2": "SUITE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092500",
            "telephone_number": "813-288-8010",
            "fax_number": "813-288-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM MACLEOD & GAEL MACLEOD PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "MACLEOD",
        "authorized_official_first_name": "GAEL",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-288-8010",
        "authorized_official_credential": "LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2314",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.