Tandy J McClung, ED.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

488 Issued in WV

Practice address

1062 Maple Dr
Suite 1
Morgantown, WV 26505-0809

Phone

(304) 599-5751

Fax

(304) 599-2124

NPI assigned

Feb 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• GR&W, Inc

  • Clinical Neuropsychologist
  • Morgantown, WV
  • NPI 1407192024
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1083686802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GRAND ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016911",
            "telephone_number": "304-376-3426",
            "fax_number": "304-599-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 MAPLE DR",
            "address_2": "SUITE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050809",
            "telephone_number": "304-599-5751",
            "fax_number": "304-599-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "TANDY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7268",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Thomas McClellan, M.D.
• Ashlyn McClelland
• Daniel McClelland
• Lisa Marie McCloy, CRNA
• Kay McClung
• David C McClure, M.D.
• Georgia McClure, CCC-SLP
• Sarah McCollester, M.D.
• Andrea McComas
• Kalyn Leigh McCormick, PT

• Clinical Psychologist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.