MATTHEW PATRICK MCCAULEY (NPI# 1477992808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477992808 |
| Entity Type | Individual |
| Full Name | MATTHEW PATRICK MCCAULEY |
| Credential | LADC |
| Practice Address |
115 Forestview Ln N Plymouth MN 55441-5910 |
| Practice Telephone | 7635468008 |
| Practice Fax Number | 7635467674 |
| Mailing Telephone | 7635468008 |
| Mailing Fax Number | 7635467674 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302288 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105837 | Matthew Mccauley | Emergency Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2017-03-19 |
| 1083043491 | Matthew Mccauley | Counselor | 614 Esplanade St, Lake Charles, LA 70607-6308 | 2013-11-06 |
| 1700151396 | Matthew Tobias Mccauley | Nurse Practitioner | 13624 County Road 8, Woodville, AL 35776-6162 | 2012-03-14 |
| 1346447430 | Matthew Mccauley | Internal Medicine | 281 Lincoln St, Med Staff Svcs, Worcester, MA 01605-2138 | 2007-07-02 |
| 1417024373 | Matthew L. Mccauley | Internal Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-11-29 |
| 1386622280 | Matthew B Mccauley | Ophthalmology | 17450 St Lukes Way, Suite 100, The Woodlands, TX 77384-8045 | 2006-01-03 |
| Street Address |
115 FORESTVIEW LN N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932138765 | Candida Amber Davenport | Counselor | 115 Forestview Ln N, Plymouth, MN 55441-5910 | 2006-07-02 |
| 1922610963 | Michele M Kennedy | Counselor | 115 Forestview Ln N, Plymouth, MN 55441-5910 | 2020-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080216 | Susan Maud Greenhoe | Counselor | 13895 Industrial Park Blvd Ste 140, Plymouth, MN 55441-3712 | 2020-07-09 |
| 1396300299 | Katheryn Monahan | Counselor | 13805 53rd Ave N Apt 10, Plymouth, MN 55446-1897 | 2019-05-06 |
| 1922587294 | Dan Parker Hicks | Counselor | 1123 State Rd, Plymouth, MA 02360-5133 | 2018-08-08 |
| 1437666112 | Nancy Elliot Toellner | Counselor | 116 Long Pond Rd Ste 2&3, Plymouth, MA 02360-2663 | 2018-01-04 |
| 1457809444 | A New Direction Counseling, Inc. | Counselor | 316 W Jefferson St, Plymouth, IN 46563-1734 | 2016-09-19 |
| 1316494990 | Barbara Marie Krill | Counselor | 31 Ives Ln, Plymouth, CT 06782 | 2016-09-01 |
| 1699141549 | Cynthia Norman | Counselor | 110a Albemarle Dr, Plymouth, NC 27962-1530 | 2015-08-14 |
| 1225414741 | Rebecca Pierce | Counselor | 5200 Annapolis Ln N Apt 1204, Plymouth, MN 55446-3610 | 2015-08-06 |
| 1447687595 | Dawn King | Counselor | 1233 State Road, High Point Treatment Center, Plymouth, MA 02360 | 2013-10-03 |
| 1417223595 | Tynetta Shuntay Hunt | Counselor | 334 West Ave, Plymouth, NC 27962-2154 | 2012-03-22 |
| Find all providers in PLYMOUTH | ||||
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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.