Individual provider Active NPI

Daniele Marie McLean

  • Speech-Language Pathologist
  • Holly Ridge, NC
National Provider Identifier
1932625563
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13353 Issued in NC
Practice address
325 Sound Rd Ste 200
Holly Ridge, NC 28445-7813
Phone
(201) 403-5826
Fax
(910) 928-2496
NPI assigned
Aug 15, 2017
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13353 NC Primary
Speech-Language Pathologist 235Z00000X 41YS00819400 NJ

Addresses

Primary practice location

325 Sound Rd Ste 200
Holly Ridge, NC 28445-7813

Mailing address

2761 NC Highway 210 E Ste G
Hampstead, NC 28443-8956
Phone (201) 403-5826

Other names 1

  • Daniele Marie McLean Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828001292 NC Practitioner - Qualified Speech Language Pathologist 0941538052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
New York Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidal Therapy Solutions LLCGroup PAC ID 6800337718, 3 clinicians

Practice addresses (Care Compare)

Holly Ridge, NC 28445
Phone (910) 541-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13353NCMDSpeech-Language Pathologist
41YS00819400NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidal Therapy Solutions LLC Speech-Language Pathologist CurrentSince Aug 19, 2022 Accepting new patients

Locations

2761 NC Highway 210 E
Ste G
Hampstead, NC 28443
Phone (775) 481-7908

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1932625563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2761 NC HIGHWAY 210 E STE G",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284438956",
            "telephone_number": "201-403-5826",
            "fax_number": "910-928-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOUND RD STE 200",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457813",
            "telephone_number": "201-403-5826",
            "fax_number": "910-928-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "DANIELE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13353",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00819400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELE",
            "last_name": "MCLEAN",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holly Ridge, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.