Organization Active NPI

McGee-Lytle Inc

  • Clinical Psychologist
  • Fort Wayne, IN
National Provider Identifier
1093774796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040231 Issued in IN
Legal business name
MCGEE-LYTLE INC
Practice address
2020 E Washington Blvd
Suite 650
Fort Wayne, IN 46803-1327
Phone
(260) 422-9800
Fax
(260) 422-9882
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Henria D McGee-Lytle, PH.D
Title
Ceo
Phone
(260) 422-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 20040231 IN Primary

Addresses

Primary practice location

2020 E Washington Blvd
Suite 650
Fort Wayne, IN 46803-1327

Mailing address

2020 E Washington Blvd
Suite 650
Fort Wayne, IN 46803-1327
Phone (260) 422-9800

National Provider Directory

National Provider Directory

Locations

2020 E Washington Blvd
Ste 650
Fort Wayne, IN 46803
Phone (260) 422-9800

2020 E Washington Blvd
Fort Wayne, IN 46803
Phone (260) 422-9800

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093774796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E WASHINGTON BLVD",
            "address_2": "SUITE 650",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468031327",
            "telephone_number": "260-422-9800",
            "fax_number": "260-422-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E WASHINGTON BLVD",
            "address_2": "SUITE 650",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468031327",
            "telephone_number": "260-422-9800",
            "fax_number": "260-422-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGEE-LYTLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGEE-LYTLE",
        "authorized_official_first_name": "HENRIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-422-9800",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.