Individual provider Active NPI

Nathan McClelland, PH.D.

  • Psychologist
  • Parsippany, NJ
National Provider Identifier
1174926232
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5510 Issued in NJ
Practice address
50 Cherry Hill Rd
Suite 102
Parsippany, NJ 07054-1113
Phone
(908) 783-1211
NPI assigned
Oct 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 020722 NY
Psychologist 103T00000X 5510 NJ Primary

Addresses

Primary practice location

50 Cherry Hill Rd
Suite 102
Parsippany, NJ 07054-1113

Mailing address

50 Cherry Hill Rd
Suite 102
Parsippany, NJ 07054-1113
Phone (908) 783-1211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124001351 NJ Practitioner - Clinical Psychologist 8022318054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Morris Psychological Group, PAGroup PAC ID 4385621705, 6 clinicians

Practice addresses (Care Compare)

50 Cherry Hill Rd
Parsippany, NJ 07054-1101
Phone (973) 257-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5510NJMDPsychologist
020722NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Psychological Group, PA CurrentSince Oct 29, 2015 Accepting new patients
Richard B. Dauber, PH.D. Psychologist Past Accepting new patients

Locations

50 Cherry Hill Rd
Ste 305
Parsippany, NJ 07054
Phone (973) 257-9000

50 Cherry Hill Rd
Ste 102
Parsippany, NJ 07054
Phone (908) 783-1211

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1174926232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL RD",
            "address_2": "SUITE 102",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541113",
            "telephone_number": "908-783-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL RD",
            "address_2": "SUITE 102",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070541113",
            "telephone_number": "908-783-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-03",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020722",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "5510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

Verify at the official NPI Registry.