Active NPI
Teresa Ann McClain
- Speech-Language Pathologist
- Muncie, IN
National Provider Identifier
1912935735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 22001905
- Practice address
- Ball State University
Arts and Communication Building, Room #104
Muncie, IN 47306-0001 - Phone
- (765) 285-8062
- Fax
- (765) 285-5623
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 22001905 | IN | Primary |
Addresses
Primary practice location
Ball State University
Arts and Communication Building, Room #104
Muncie, IN 47306-0001
Mailing address
5405 N Austin Dr
Muncie, IN 47304-5920
Phone (765) 285-8062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22001905 | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912935735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 N AUSTIN DR",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473045920",
"telephone_number": "765-285-8062",
"fax_number": "765-285-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BALL STATE UNIVERSITY",
"address_2": "ARTS AND COMMUNICATION BUILDING, ROOM #104",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473060001",
"telephone_number": "765-285-8062",
"fax_number": "765-285-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "TERESA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "22001905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.