MEDICARE: MCLEAN PSYCHIATRY & WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1952231953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCLEAN PSYCHIATRY & WELLNESS LLC

Provider Business Mailing Address
First Line	:	1319 CASSIA ST
Second Line	:
City	:	HERNDON
State	:	VA
Zip	:	20170-2524
Country	:	US
Telephone Number	:	619-302-9282
Fax Number	:

Provider Business Practice Location Address
First Line	:	1319 CASSIA ST
Second Line	:
City	:	HERNDON
State	:	VA
Zip	:	20170-2524
Country	:	US
Telephone Number	:	619-302-9282
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASHLY MCLEAN
Credential	:
Telephone Number	:	619-302-9282

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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