PROF. MICHAEL LANE MCCLAIN (NPI# 1861645368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861645368 |
| Entity Type | Individual |
| Full Name | PROF. MICHAEL LANE MCCLAIN |
| Credential | MA, RRT, CADC, CPRM |
| Practice Address |
1121 E Mcnichols Rd Detroit MI 48203-2857 |
| Practice Telephone | 3133653100 |
| Practice Fax Number | 3138645326 |
| Mailing Telephone | 3133653100 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1861645368 | MI | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
822974 | MI | Behavioral Health & Social Service Providers |
| N | 2279E1000X |
Respiratory Therapist, Registered Specialization: Educational |
MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 175T00000X | Peer Specialist | 1861645368 | MI | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932507837 | Michael Mcclain | Social Worker | 6875 15th St S, St Petersburg, FL 33705-6023 | 2014-12-09 |
| 1104835917 | Michael Duane Mcclain | Chiropractor | 1300 Aspen St, Suite A, Helena, MT 59601-0905 | 2006-08-08 |
| 1336618909 | Michael Mcclain | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2018-11-13 |
| 1104207943 | Michael A Mcclain | Physical Therapy Assistant | 601 W Mahone Dr, Artesia, NM 88210-2046 | 2015-06-17 |
| 1073871992 | Michael Albert Mcclain | Anesthesiology | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2012-04-28 |
| 1841521358 | Michael Pickard Mcclain | Dentist | 1405 E Wood St, Paris, TN 38242-5655 | 2010-01-22 |
| 1558486183 | Michael Gregory Mcclain | Physical Therapist | 219 Princeton Rd, Suite 150, Johnson City, TN 37601-2062 | 2007-03-20 |
| 1790747418 | Michael Allen Mcclain | Dentist | 1225 Willow Creek Rd, Prescott, AL 86301 | 2006-04-06 |
| 1164495453 | Michael P Mcclain | Anesthesiology | 4110 Warrensville Center Rd, Beachwood, OH 44122-7024 | 2006-02-08 |
| Street Address |
1121 E MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043302730 | John Lewis Eberhart | Counselor | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2006-09-29 |
| 1487266441 | Jeremiah Spears Jr. | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| 1740892603 | Sheena Talanya Dalton | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-08-20 |
| 1467060368 | Diane Lassiter | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-07-16 |
| 1487262580 | Kenneth Mccoy | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2020-07-15 |
| 1780220632 | Mary Margaret Fleury | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1992341846 | Roberta Wilson | Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1255977104 | Debra Roberts | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1952947806 | Dwayne Frank Muhammad | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-25 |
| 1821633371 | April Marie Doss | Counselor | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386251841 | Diversified Community Services | Counselor | 10301 W 7 Mile Rd, Detroit, MI 48221-1962 | 2020-09-29 |
| 1750907853 | Ronnie Stephen | Counselor | 15025 Fenkell St, Detroit, MI 48227-2647 | 2020-06-24 |
| 1144860552 | Allen Hugh Warrick IIi | Counselor | 9605 Grand River Ave # A, Detroit, MI 48204-2139 | 2020-01-14 |
| 1396309878 | Darnesha Coy | Counselor | 17870 Dresden St, Detroit, MI 48205-3138 | 2019-04-30 |
| 1518438746 | Curron Thomas | Counselor | 16850 Wyoming St, Apartment 328, Detroit, MI 48221-3415 | 2018-12-16 |
| 1861962094 | Reid Talley | Counselor | 12010 Elmhurst, Detroit, MI 48206 | 2018-11-30 |
| 1205304359 | Life Challenge of Southeastern Michigan | Counselor | 17667 Pierson St, Detroit, MI 48219-2520 | 2018-11-07 |
| 1598233892 | Michigan Employment & Training Plus | Counselor | 6522 Piedmont St, Detroit, MI 48228-4950 | 2018-11-05 |
| 1821588773 | Avery Brown Jr. | Counselor | 8333 Townsend St, Detroit, MI 48213-2331 | 2018-05-16 |
| 1538669304 | Helping Hands Community Centers 1 | Counselor | 2434 Chicago Blvd, Detroit, MI 48206-1741 | 2018-02-17 |
| Find all providers in DETROIT | ||||
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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.