SHIRLEY MCLEAN (NPI# 1275080400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
Street Address |
1100 W 6TH AVE |
City | GARY |
State | IN |
Zip Code | 46402-1711 |
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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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 |
Find all providers in zip 46402 |
Taxonomy Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
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 |
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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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.