John Davis Mckellar
Addiction Psychologist (Substance Use Disorder)
15047 Los Gatos Blvd Suite 200
Los Gatos
, California 95032-2054
John Davis Mckellar
Addiction Psychologist (Substance Use Disorder)
15047 Los Gatos Blvd Suite 200
Los Gatos
, California 95032-2054
(408) 378-4510
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- John Davis Mckellar
- 15047 Los Gatos Blvd Suite 200
- Los Gatos, CA
- Zip : 95032-2054
- Fax : (408) 378-4510
- Phone : (408) 364-6799
Second Address
- John Davis Mckellar
- 15047 Los Gatos Blvd Suite 200
- Los Gatos, CA
- Zip : 95032-2054
- Fax : (408) 378-4510
- Phone : (408) 364-6799
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 18966 | CA |
National Provider Identifier
| NPI | 1184893778 |
|---|---|
| Provider Name | John Davis Mckellar |
| First Address | Los Gatos, CA 95032-2054 |
| Second Address | Los Gatos, CA 95032-2054 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2008 |
| Last Update Date | 11/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.