Healthcare Provider Details

I. General information

NPI: 1538815709
Provider Name (Legal Business Name): MEGHAN MCLAIN PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2022
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 EVERGREEN DR NE STE 210
GRAND RAPIDS MI
49525-9830
US

IV. Provider business mailing address

1483 11 MILE RD NE
COMSTOCK PARK MI
49321-9528
US

V. Phone/Fax

Practice location:
  • Phone: 616-600-2845
  • Fax:
Mailing address:
  • Phone: 616-600-2845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MEGHAN MCLAIN
Title or Position: PSYD
Credential:
Phone: 616-600-2845