Individual provider Active NPI

Jo L McClain, PSY.D

  • Clinical Psychologist
  • Martinsville, VA
National Provider Identifier
1194785329
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810000335 Issued in VA
Practice address
1079 Spruce St
Martinsville, VA 24112-4506
Phone
(276) 666-5952
Fax
(276) 638-5287
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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 0810000335 VA Primary

Addresses

Primary practice location

1079 Spruce St
Martinsville, VA 24112-4506

Mailing address

PO Box 5361
Martinsville, VA 24115-5361
Phone (276) 666-5952

Other identifiers 2

IdentifierTypeStateIssuer
010189705MedicaidVA
181279OtherVAANTHEM

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810000335VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jo Lynn McClain, Psy.D. Clinical PastSince Feb 19, 2010 Accepting new patients
T Med Behavioral Inc Clinical Past Accepting new patients
David Margolis PH.D. P.a. Past Accepting new patients

Organizations & group practices 3

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1194785329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5361",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241155361",
            "telephone_number": "276-666-5952",
            "fax_number": "276-638-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 SPRUCE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124506",
            "telephone_number": "276-666-5952",
            "fax_number": "276-638-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "JO",
        "middle_name": "L",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010189705",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "181279",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.