Individual provider Active NPI

Amanda J McLaney, PSY.D.

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1265505721
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071007104 Issued in IL
Practice address
7527 Quemado CT NE
Albuquerque, NM 87109-3869
Phone
(847) 382-1668
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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 071007104 IL Primary

Addresses

Primary practice location

7527 Quemado CT NE
Albuquerque, NM 87109-3869

Mailing address

7527 Quemado CT NE
Albuquerque, NM 87109-3869
Phone (505) 358-9094

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
071007104ILMDClinical Psychologist
1188NMMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1265505721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 QUEMADO CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093869",
            "telephone_number": "505-358-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 QUEMADO CT NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093869",
            "telephone_number": "847-382-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLANEY",
        "first_name": "AMANDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.