Basic Information
Provider Information
NPI: 1003010505
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCLEMORE
FirstName: JAMES
MiddleName: HENRY
NamePrefix:  
NameSuffix:  
Credential: M.DIV, D.MIN.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5151 ROSECREST DR
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152011002
CountryCode: US
TelephoneNumber: 4124416753
FaxNumber:  
Practice Location
Address1: 6324 MARCHAND ST
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152064312
CountryCode: US
TelephoneNumber: 4126611239
FaxNumber: 4126611304
Other Information
ProviderEnumerationDate: 06/11/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP1600X  Y Behavioral Health & Social Service ProvidersCounselorPastoral

ID Information
IDTypeStateIssuerDescription
000552588000105PA MEDICAID


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