NPIMap

Organization Active NPI

Karen a. McClintock, PH.D. LLC

  • Clinical Psychologist
  • Ashland, OR
National Provider Identifier
1306891809
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1522 Issued in OR
Legal business name
KAREN A. MCCLINTOCK, PH.D. LLC
Practice address
149 Clear Creek Dr.
Suite 101
Ashland, OR 97520
Phone
(541) 326-1616
NPI assigned
May 23, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Karen A. McClintockNPI 1316992803
Title
Clinical Psychologist
Phone
(541) 326-1616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1522 OR Primary

Addresses

Primary practice location

149 Clear Creek Dr.
Suite 101
Ashland, OR 97520

Mailing address

149 Clear Creek Dr.
Suite 101
Ashland, OR 97520
Phone (541) 326-1616

National Provider Directory

National Provider Directory

Locations

1630 Siskiyou Blvd
Ste B
Ashland, OR 97520
Phone (541) 326-1616

Practitioners & affiliated clinicians

Practitioners 2

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1306891809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CLEAR CREEK DR.",
            "address_2": "SUITE 101",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-326-1616",
            "fax_number": "541-488-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CLEAR CREEK DR.",
            "address_2": "SUITE 101",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-326-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN A. MCCLINTOCK, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "541-326-1616"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.