Active NPI
Deija McLean, PHD
- Psychologist
- Baltimore, MD
National Provider Identifier
1164193124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 06633
- Practice address
- 1708 W Rogers Ave
Baltimore, MD 21209-4545 - Phone
- (410) 578-3737
- NPI assigned
- Sep 21, 2021
- Last updated
- Sep 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 06633 | MD | Primary |
Addresses
Primary practice location
1708 W Rogers Ave
Baltimore, MD 21209-4545
Mailing address
1708 W Rogers Ave
Baltimore, MD 21209-4545
Phone (410) 578-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 17, 2025 through Jul 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06633 | MD | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1164193124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 W ROGERS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094545",
"telephone_number": "410-578-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 W ROGERS AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212094545",
"telephone_number": "410-578-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEAN",
"first_name": "DEIJA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-21",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "06633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.