Micah L McCreary, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002138 Issued in VA

Practice address

800 W. Franklin Street, Room 107
Richmond, VA 23284-2018

Phone

(804) 828-1889

Fax

(804) 828-2237

NPI assigned

May 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1093940447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8356",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232260356",
            "telephone_number": "804-828-1889",
            "fax_number": "804-828-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W. FRANKLIN STREET, ROOM 107",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232842018",
            "telephone_number": "804-828-1889",
            "fax_number": "804-828-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "MICAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey McCrann, LCSW
• Kerry M McCray, N.P.
• Shenee McCray, LCSW
• Joshua Miles McCreadie, D.C.
• Kathryn Lee McCreary, CNM, WHNP-BC
• Kelly Schmid McCrowell, PHD
• Kailey Treasa McCullen, AGACNP-BC
• Birgitta Marta McCulloch, M.D.
• Victoria McCullough
• Nina McCune, MA, ATR-BC, LPC

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.