Organization Active NPI

McCleary Psychological Services LLC

  • Clinical Psychologist
  • Woodbridge, VA
National Provider Identifier
1073921185
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004890 Issued in VA
Legal business name
MCCLEARY PSYCHOLOGICAL SERVICES LLC
Practice address
13043 Qualls LN
Woodbridge, VA 22193-4559
Phone
(786) 663-7128
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Dr. Carol Santana McCleary, PSYD
Title
Clinical Psychologist
Phone
(786) 663-7128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810004890 VA Primary

Addresses

Primary practice location

13043 Qualls LN
Woodbridge, VA 22193-4559

Mailing address

13043 Qualls LN
Woodbridge, VA 22193-4559
Phone (786) 663-7128

National Provider Directory

National Provider Directory

Locations

4310 Ridgewood Center Dr
Woodbridge, VA 22192
Phone (703) 495-3164

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1073921185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13043 QUALLS LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934559",
            "telephone_number": "786-663-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13043 QUALLS LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934559",
            "telephone_number": "786-663-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLEARY PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "MCCLEARY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SANTANA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "786-663-7128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.