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MCLEAN WELLNESS GROUP INC NPI 1124417167


NPI Information

NPI: 1124417167
Provider Name: MCLEAN WELLNESS GROUP, INC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
112 SPENCER ST STE 3B
MANCHESTER, CT
ZIP 06040
Phone: (860) 578-4808
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MCLEAN WELLNESS GROUP, INC is a clinical psychologist in Manchester, CT. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MCLEAN WELLNESS GROUP, INC NPI is 1124417167. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

112 SPENCER ST STE 3B
MANCHESTER, CT
ZIP 06040-601
Phone: (860) 578-4808
Fax: (866) 355-1052

The provider's authorized official is April A. Mclean .
The authorized official title is Owner/psychologist and has the following contact phone number (860) 578-4808.

The enumeration date for this NPI number is 1/14/2015 and was last updated on 9/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)000899CONNECTICUTNo
2103TF0200XPsychologistForensic899CONNECTICUTNo
31041C0700XSocial WorkerClinical8731CONNECTICUTNo
4103TC0700XPsychologistClinical002946CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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