SHIRLEY MCLEAN


Address: 1100 W 6th Ave, Gary, IN 46402-1711
Phone: 2198854264

SHIRLEY MCLEAN (NPI# 1275080400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275080400
Entity Type Individual
Full Name SHIRLEY MCLEAN
Practice Address 1100 W 6th Ave
Gary
IN 46402-1711
Practice Telephone 2198854264
Practice Fax Number 2198850165
Mailing Telephone 2198854264
Mailing Fax Number 2198850165
Enumeration Date 2016-09-06
Last Update Date 2016-09-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities

Office Location

Street Address 1100 W 6TH AVE
City GARY
State IN
Zip Code 46402-1711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912970229 Mathew V Castelino Psychiatry & Neurology 1100 W 6th Ave, Gary, IN 46402-1711 2006-02-08
1578162087 Laura Lisseth Robles Technician, Other 1100 W 6th Ave, Gary, IN 46402-1711 2020-10-26
1013516939 Laresse Harris Nurse Practitioner 1100 W 6th Ave, Gary, IN 46402-1711 2020-10-21
1245838762 Alexis Katherine Neylon Technician, Other 1100 W 6th Ave, Gary, IN 46402-1711 2020-10-16
1386242378 Ameena R Rucker Case Manager/Care Coordinator 1100 W 6th Ave, Gary, IN 46402-1711 2020-10-13
1215535372 Brittany Marie Comer Specialist/Technologist 1100 W 6th Ave, Gary, IN 46402-1711 2020-10-12
1093321549 Curtis Freeman Case Manager/Care Coordinator 1100 W 6th Ave, Gary, IN 46402-1711 2020-09-21
1174136980 Shania Johnson Technician 1100 W 6th Ave, Gary, IN 46402-1711 2020-08-31
1669080248 Syreeta Newsom Technician 1100 W 6th Ave, Gary, IN 46402-1711 2020-07-20
1841808433 Andrea W Johnson Technician 1100 W 6th Ave, Gary, IN 46402-1711 2020-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790154417 Edgewater Systerms for Balanced Living Community/Behavioral Health 1106 West 6 Th Avenue, Gary, IN 46402 2015-09-23
1447642772 Michael Pirtle Counselor 1100 W. Fifth Ave, Gary, IN 46402 2015-02-24
1356748370 Peter F Uchman Social Worker 1100 W. 6th Ave., Gary, IN 46402 2014-11-20
1295142594 Demetria A Macon Counselor 1100 W. 6th Ave, Gary, IN 46402 2014-07-18
1396952503 21st Century Charter School At Gary Local Education Agency (LEA) 556 W Washington, Gary, IN 46402 2007-05-17
1609094630 Jomon Mathew Physical Therapist 353 Tyler St, Gary, IN 46402 2007-04-23
1376677138 Kovilparambil Xavier Antony Psychiatry & Neurology 1100 W 6th Avenue, Gary, IN 46402 2007-03-15
1588759013 Waltee Douglas Psychologist 667 Van Buren, Gary, IN 46402 2006-10-03
1851332514 Thessa Grace Robertson Emergency Medicine 600 Grant Street, Gary, IN 46402 2006-06-10
1932672888 The Methodist Hospitals, Inc Pharmacy 600 Grant St, Gary, IN 46402 2019-01-03
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831697598 Indianapolis Vamc Psychiatric Residential Treatment Facility 9045 E 59th St Bldg 402, Indianapolis, IN 46216-1030 2018-01-29
1518382993 Patrick Mcneill Psychiatric Residential Treatment Facility 614 Farley Dr, Indianapolis, IN 46214-3575 2014-02-21
1063561272 Associates In Clinical Psychology PC Psychiatric Residential Treatment Facility 317 West Monroe St, Plymouth, IN 46563 2007-01-09
1134276884 Youth Opportunity Center, Inc Psychiatric Residential Treatment Facility 3700 W Kilgore Ave, Muncie, IN 47304-4810 2007-01-04
1982774246 Gibault, Inc. Psychiatric Residential Treatment Facility 6401 S Us Highway 41, Terre Haute, IN 47802-4749 2006-11-08
1801822440 Hhc Indiana Inc. Psychiatric Residential Treatment Facility 1800 N Oak Dr, Plymouth, IN 46563-3406 2006-06-24
1770970337 Crossroad Child and Family Services Psychiatric Residential Treatment Facility 2525 Lake Ave, Fort Wayne, IN 46805-5407 2015-04-22
1598194516 Damar Services Inc. Psychiatric Residential Treatment Facility 6067 Decatur Blvd, Indianapolis, IN 46241-9606 2013-11-12
1730487901 Gibault, Inc. Psychiatric Residential Treatment Facility 6401 S Us Highway 41, Terre Haute, IN 47802-4749 2011-03-11
1366747685 Veronica Bridges Psychiatric Residential Treatment Facility 1525 N Ritter Ave, Indianapolis, IN 46219-3026 2011-01-18
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Competitor

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City GARY
Zip Code 46402

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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