Individual provider Active NPI

David Russell McCann, PH.D.; R.P.

  • Psychoanalyst
  • Ojai, CA
National Provider Identifier
1225327877
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
RP018 Issued in CA
Practice address
323 E. Matilija St. # 110-158
2125 McNell Road
Ojai, CA 93023
Phone
(805) 646-4455
Fax
(805) 646-4455
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X RP018 CA Primary
Marriage & Family Therapist 106H00000X RP018

Addresses

Primary practice location

323 E. Matilija St. # 110-158
2125 McNell Road
Ojai, CA 93023

Mailing address

323 E. Matilija St. # 110-158
2125 McNell Road
Ojai, CA 93023
Phone (805) 646-4455

Other identifiers 1

IdentifierTypeStateIssuer
ZZ11442ZOtherCABLUE SHIELD, CALIF

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

State licenses

LicenseStateTypeSpecialty
RP018CAMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1225327877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E. MATILIJA ST. # 110-158",
            "address_2": "2125 MCNELL ROAD",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "93023",
            "telephone_number": "805-646-4455",
            "fax_number": "805-646-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 E. MATILIJA ST. # 110-158",
            "address_2": "2125 MCNELL ROAD",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "93023",
            "telephone_number": "805-646-4455",
            "fax_number": "805-646-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "DAVID",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.; R.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "RP018",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "RP018",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD, CALIF",
            "identifier": "ZZ11442Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.