MCEVILLY COUNSELING PLLC NPI 1003418468

Clinic/Center (Adult Mental Health) in Ann Arbor, MI

NPI 1003418468 Organization Clinic/Center Adult Mental Health

About MCEVILLY COUNSELING PLLC

Mcevilly Counseling Pllc is a provider established in Ann Arbor, Michigan specializing in clinic/center (adult mental health) . The NPI number of Mcevilly Counseling Pllc is 1003418468 and was assigned on November 2020. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Patrick James Mcevilly Iii Lmsw (Therapist/owner)

NPI

1003418468

Provider NameMCEVILLY COUNSELING PLLC
Provider Location Address120 E LIBERTY ST # ST360 ANN ARBOR, MI 48104
Provider Mailing Address1210 N CONGRESS ST YPSILANTI, MI 48197
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date11-11-2020
Last Update Date11-11-2020


Primary Taxonomy

Taxonomy Code261QM0850X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAdult Mental Health
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Business Address

MCEVILLY COUNSELING PLLC
120 E LIBERTY ST # ST360
ANN ARBOR, MI
ZIP 48104
Phone: (248) 736-7251

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Mailing Address

MCEVILLY COUNSELING PLLC
1210 N CONGRESS ST
YPSILANTI, MI
ZIP 48197
Phone: (248) 736-7251



Authorized Official

Authorized Official NameMR. PATRICK JAMES MCEVILLY III LMSW
Authorized Official TitleTHERAPIST/OWNER
Authorized Official Phone(248) 736-7251

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthNo

Taxonomy Description: an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.