Active NPIIndividual providerSole proprietor

Johnathon Macneill

Developmental Therapist in Malden, Massachusetts

NPI Number1518626951
Practice location
628 Broadway Apt 2F, Malden, MA 02148-2054
Fax
—
Last updated
December 13, 2021

Johnathon Macneill is a Developmental Therapist based in Malden, MA. Johnathon Macneill practices in Malden, MA. The NPI Number for Johnathon Macneill is 1518626951 and holds a License No. 1922174226 (MA). The current practice location address for Johnathon Macneill is 628 Broadway Apt 2F, Malden, MA 02148-2054 and can be reached out via phone at 857-221-6282.

Provider Profile Details

NPI Number
1518626951
Provider Name
Johnathon Macneill
Provider Entity Type
Individual
Gender
Male
Address
628 Broadway Apt 2F, Malden, MA 02148-2054
Phone Number
857-221-6282
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 13, 2021
Last Update Date
December 13, 2021
Certification Date
December 13, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
628 Broadway Apt 2F
Malden, MA 02148-2054
City
Malden
Zip
02148-2054
Phone Number
857-221-6282
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
628 Broadway Apt 2F
Malden, MA 02148-2054
City
Malden
State
MA
Zip
02148-2054
Phone Number
857-221-6282

License Information

License Number
1922174226
License State
MA
Taxonomy
Developmental Therapist · 222Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Johnathon Macneill?

The NPI number of Johnathon Macneill is 1518626951. It was assigned on December 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Johnathon Macneill?

Johnathon Macneill is registered under the primary taxonomy Developmental Therapist (code 222Q00000X), licensed in MA under license number 1922174226.

Where does Johnathon Macneill practice?

The practice location is 628 Broadway Apt 2F, Malden, MA 02148-2054. The office can be reached at 857-221-6282 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518626951 directly on the NPPES registry website.

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