Individual provider Active NPI

David Lee McCluskey Jr., PHD

  • Psychologist
  • San Antonio, TX
National Provider Identifier
1255008439
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38940 Issued in TX
Practice address
9402 Valley RDG
San Antonio, TX 78250-5793
Phone
(662) 902-5905
NPI assigned
Aug 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38940 TX Primary

Addresses

Primary practice location

9402 Valley RDG
San Antonio, TX 78250-5793

Mailing address

9402 Valley RDG
San Antonio, TX 78250-5793
Phone (662) 902-5905

Other practice location 1

7951 Collin McKinney Pkwy Ste 200
McKinney, TX 75070-7843
Phone (469) 294-9075

Other identifiers 1

IdentifierTypeStateIssuer
38940OtherTXTEXAS BOARD OF EXAMINERS OF PSYCHOLOGISTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220126002748 TX Practitioner - Clinical Psychologist 4688066541 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Next Steps Worldwide, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Supportive Care LLC CurrentSince Jan 15, 2022 Accepting new patients
Evidence Based Behavioral Solutions Current Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

7951 Collin McKinney Pkwy
Ste 200
McKinney, TX 75070

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

8626 Tesoro Dr
Ste 490
San Antonio, TX 78217
Phone (210) 202-0100

50 Briggs St
San Antonio, TX 78224
Phone (210) 921-0184

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1255008439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 VALLEY RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505793",
            "telephone_number": "662-902-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 VALLEY RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505793",
            "telephone_number": "662-902-5905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7951 Collin McKinney Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750707843",
            "country_code": "US",
            "telephone_number": "469-294-9075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUSKEY",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF EXAMINERS OF PSYCHOLOGISTS",
            "identifier": "38940",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.