Individual provider Active NPI

Michael S McLane, PSY.D.

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1053466508
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
31896 Issued in TX
Practice address
12700 Hillcrest Rd Ste 270
Dallas, TX 75230-2030
Phone
(972) 620-1225
Fax
(972) 620-4393
NPI assigned
Jan 24, 2007
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 31896 TX Primary

Addresses

Primary practice location

12700 Hillcrest Rd Ste 270
Dallas, TX 75230-2030

Mailing address

12700 Hillcrest Rd Ste 270
Dallas, TX 75230-2030
Phone (972) 620-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31896TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral and Medical Homecare Inc PastSince Apr 28, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1053466508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD STE 270",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302030",
            "telephone_number": "972-620-1225",
            "fax_number": "972-620-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 HILLCREST RD STE 270",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302030",
            "telephone_number": "972-620-1225",
            "fax_number": "972-620-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLANE",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "31896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.