DR. JERLYN MCCLEOD M.D. NPI 1972659407

NPI Information

NPI: 1972659407
Provider Name: DR. JERLYN MCCLEOD, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
101 MEDICAL DR
DOTHAN, AL
ZIP 36303
Phone: (334) 702-7222
Get Directions

DR. Jerlyn Mccleod, M.D. is a child and adolescent psychiatry psychiatry neurology in Dothan, AL with 26 years of experience. The provider is 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. DR. Jerlyn Mccleod, M.D. NPI is 1972659407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 MEDICAL DR
DOTHAN, AL
ZIP 36303-903
Phone: (334) 702-7222
Fax: (334) 702-1944

The NPI 1972659407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 2/24/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	25317	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051553959	MEDICAID	ALABAMA
2	631265410	OTHER	ALABAMA	EIN
3	H87038	MEDICARE UPIN	ALABAMA
4	051553959	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA
5	127946	MEDICAID	ALABAMA

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

NPI Synchronization or Removal

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