DR. JON MONTGOMERY MCCLELLAN (NPI# 1548244932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548244932 |
| Entity Type | Individual |
| Full Name | DR. JON MONTGOMERY MCCLELLAN |
| Credential | MD |
| Practice Address |
8805 Steilacoom Blvd Sw Lakewood WA 98498-4770 |
| Mailing Address |
13925 Par Pl Ne Seattle WA 98125-3054 |
| Practice Telephone | 2537562319 |
| Practice Fax Number | 2537563911 |
| Mailing Telephone | 2063677290 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD00023282 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
8805 STEILACOOM BLVD SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98498-4770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648721 | Child Study and Treatment Center | Psychiatric Hospital | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-09-01 |
| 1790122943 | Francesca Shipp | Psychologist | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2013-05-29 |
| 1851618185 | Sarah Marie Heavin | Psychologist | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2010-04-26 |
| 1699759662 | Michael Guy Storck | Psychiatry & Neurology | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-12-02 |
| 1861476251 | Lynda Lee Carlisle | Psychiatry & Neurology | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-11-30 |
| 1013991496 | Ileana Calinoiu | Psychiatry & Neurology | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-11-30 |
| 1508840984 | Holly Noel Galbreath | Psychologist | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-11-30 |
| 1770567158 | Frances Josephine Lexcen | Psychologist | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045114 | James Ngigi Wachira | Social Worker | 7409 Coral Ln Sw, Lakewood, WA 98498 | 2019-07-16 |
| 1477111227 | Prana Briggs | Behavior Technician | 7902 Jade Drive Sw, Lakewood, WA 98498 | 2019-06-05 |
| 1528595212 | Palak Dweepkumar Shah | Physical Therapist | 10401 116th St Ct Sw, Apt K, Lakewood, WA 98498 | 2017-05-12 |
| 1821546946 | Epc General Contracting Services LLC | Home Health | 7423 Onyx Dr Sw, Lakewood, WA 98498 | 2016-09-18 |
| 1700212149 | Laverna Holwill Spain | Counselor | 8404 83rd Ave Sw Ste F, Lakewood, WA 98498 | 2013-09-17 |
| 1760787097 | Department of Social | Pharmacy | 9601 Stellacoom Blvd Sw, Tacoma, WA 98498 | 2011-01-18 |
| 1730321043 | James David Eshelman | Dentist | 8817-69th St. Ct. S.w., Lakewood, WA 98498 | 2009-04-01 |
| 1235393422 | Risa Leanne Salters | Social Worker | Western State Hospital 9601 Steilacoom Blvd. Sw, Lakewood, WA 98498 | 2008-07-16 |
| 1750596243 | Ruth Anne Hickey | Counselor | 12700 Gravelly Lake Dr Sw, Lakewood, WA 98498 | 2007-05-10 |
| 1982818803 | Linda J Leblanc | Nurse Practitioner | 10814 Deepwood Dr Sw, Lakewood, WA 98498 | 2007-05-09 |
| Find all providers in zip 98498 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144484916 | Emad N Estemalik | Psychiatry & Neurology | 12550 Lake Ave, Appartment 312, Lakewood, OH 44107-1575 | 2008-07-10 |
| 1700062247 | Jamestown Psychiatric PC | Psychiatry & Neurology | 305 E Fairmount Ave, Lakewood, NY 14750-2000 | 2008-01-15 |
| 1407061419 | Charles J Oseroff | Psychiatry & Neurology | 1536 Cole Blvd., Blg #4-#250, Lakewood, CO 80401 | 2007-05-12 |
| 1699759662 | Michael Guy Storck | Psychiatry & Neurology | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-12-02 |
| 1861476251 | Lynda Lee Carlisle | Psychiatry & Neurology | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-11-30 |
| 1013991496 | Ileana Calinoiu | Psychiatry & Neurology | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674963 | Multicare Health System | Psychiatry & Neurology | 4700 Point Fosdick Dr Ste 319, Gig Harbor, WA 98335-1731 | 2019-11-18 |
| 1235792326 | Wellpsyche Seattle PC | Psychiatry & Neurology | 801 2nd Ave Ste 800, Seattle, WA 98104-1573 | 2019-04-15 |
| 1043624240 | Lucas Mcintyre | Psychiatry & Neurology | 316 S I St Fl 1, Tacoma, WA 98405-4212 | 2014-06-16 |
| 1184043010 | Shad Syed Ali | Psychiatry & Neurology | 2511 M Ave Ste G, Anacortes, WA 98221-3897 | 2014-04-08 |
| 1710223896 | Jack Raskin | Psychiatry & Neurology | 2624 161st Ave Se, Bellevue, WA 98008-5424 | 2012-12-18 |
| 1801140876 | Deborah L. Hickey, D.o.ps | Psychiatry & Neurology | 6512-20th St Ct W #c, Firerest, WA 98466-6212 | 2012-10-30 |
| 1073884102 | Larry W. Einspahr, M.d., P.s. | Psychiatry & Neurology | 5400 Carillon Pt Bldg 5000, 4th Floor, Kirkland, WA 98033-7357 | 2012-01-20 |
| 1982922233 | Brian N Gipstein | Psychiatry & Neurology | 4407 S Madelia St, Spokane, WA 99223-6429 | 2010-05-12 |
| 1063667087 | Robert S Fleming II | Psychiatry & Neurology | 16921 14th Ave Nw, Shoreline, WA 98177-3840 | 2008-11-18 |
| 1306000898 | Amy Lazar | Psychiatry & Neurology | 11820 Northup Way Ste E200, Bellevue, WA 98005-1966 | 2008-07-14 |
| Find all providers with the same taxonomy | ||||
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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.