Individual provider Active NPI

Debra Walker McClendon, PSYD, PHD

  • Clinical Psychologist
  • Walnut, CA
National Provider Identifier
1184240616
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB94027168 Issued in CA
Practice address
100 Pierre Rd Ste a
Walnut, CA 91789-2565
Phone
(909) 374-7935
Fax
(909) 575-6717
NPI assigned
Jun 20, 2020
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSB94027168 CA Primary

Addresses

Primary practice location

100 Pierre Rd Ste a
Walnut, CA 91789-2565

Mailing address

1093 Calle Carrillo
San Dimas, CA 91773-4300
Phone (909) 374-7935

Other practice location 1

1093 Calle Carrillo
San Dimas, CA 91773-4300
Phone (909) 374-7935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSB94027168CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Training Institute LLC Specialist/Technologist, Other CurrentSince Jun 28, 2020 Accepting new patients

Locations

100 Pierre Rd
Ste A
Walnut, CA 91789
Phone (909) 374-7935

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1184240616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 CALLE CARRILLO",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734300",
            "telephone_number": "909-374-7935",
            "fax_number": "909-575-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIERRE RD STE A",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892565",
            "telephone_number": "909-374-7935",
            "fax_number": "909-575-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1093 Calle Carrillo",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917734300",
            "country_code": "US",
            "telephone_number": "909-374-7935",
            "fax_number": "909-575-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "DEBRA",
        "middle_name": "WALKER",
        "name_prefix": "Dr.",
        "credential": "PSYD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-20",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94027168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.