Stephen Dudley McLellan, MA, MBA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

205 School St
Gardner, MA 01440-2781

Phone

(978) 632-2321

Fax

(978) 630-3049

NPI assigned

Apr 8, 2008

Sex

Male

Sole proprietor

No

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

Credentials

Master of Arts, Master of Business Administration

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/youinc/r4/

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

• Youth Opportunites Uphelp, Inc.

  • Community/Behavioral Health Agency
  • Gardner, MA
  • NPI 1013228303
  NPD (past)
• Youth Opportunities Upheld, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1245317205
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1972776276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SCHOOL ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SCHOOL ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402781",
            "telephone_number": "978-632-2321",
            "fax_number": "978-630-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLELLAN",
        "first_name": "STEPHEN",
        "middle_name": "DUDLEY",
        "name_prefix": "Mr.",
        "credential": "MA, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles William McDowell Jr., M.S.
• Kristen McEachern, MA
• Jack M McEvilly
• Jerome Oliver McKean, LMHC
• Francis John McLaughlin, MD
• Christine M. McMahon, FNP-C
• Lisa Marie McNamara, HIS
• Rose Anette Melendez
• Matthew Robert Menard, PHARMD
• Mercy Family Practice PC

• Mental Health Counselor in Gardner, MA
• Providers in Gardner, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.