Organization Active NPI

Developmental & Educational Psychological Services

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1255797759
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3550 Issued in AZ
Legal business name
DEVELOPMENTAL & EDUCATIONAL PSYCHOLOGICAL SERVICES
Practice address
15720 N Greenway Hayden Loop Ste 2
Scottsdale, AZ 85260-1796
Phone
(602) 743-7032
Fax
(480) 584-3014
NPI assigned
Jan 13, 2016
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Dr. Carol McLean, PH.D.NPI 1851412621
Title
Licensed Psychologist
Phone
(480) 659-5563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3550 AZ Primary

Addresses

Primary practice location

15720 N Greenway Hayden Loop Ste 2
Scottsdale, AZ 85260-1796

Mailing address

15720 N Greenway Hayden Loop Ste 2
Scottsdale, AZ 85260-1796
Phone (602) 743-7032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200203000774 AZ Part B Supplier - Clinic/Group Practice 8123454584 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20241204003222 TX Part B Supplier - Clinic/Group Practice 8123454584 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX
O20241211000212 FL Part B Supplier - Clinic/Group Practice 8123454584 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

15720 N Greenway Hayden Loop
Ste 2
Scottsdale, AZ 85260
Phone (480) 659-5563

8687 E Via de Ventura
Ste 214
Scottsdale, AZ 85258
Phone (480) 659-5563

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1255797759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 N GREENWAY HAYDEN LOOP STE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601796",
            "telephone_number": "602-743-7032",
            "fax_number": "480-584-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 N GREENWAY HAYDEN LOOP STE 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601796",
            "telephone_number": "602-743-7032",
            "fax_number": "480-584-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL & EDUCATIONAL PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-659-5563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.