Active NPI
Nancy Lee McClearn, NPP
- Psychiatric/Mental Health Registered Nurse
- Albany, NY
National Provider Identifier
1336389071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 401193
- Practice address
- 4 Executive Park Dr
Albany, NY 12203-3718 - Phone
- (518) 438-9722
- Fax
- (518) 438-9747
- NPI assigned
- Feb 20, 2009
- Last updated
- Feb 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 401193 | NY | Primary |
Addresses
Primary practice location
4 Executive Park Dr
Albany, NY 12203-3718
Mailing address
4 Executive Park Dr
Albany, NY 12203-3718
Phone (518) 438-9722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401193 | NY | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1336389071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 EXECUTIVE PARK DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033718",
"telephone_number": "518-438-9722",
"fax_number": "518-438-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 EXECUTIVE PARK DR",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033718",
"telephone_number": "518-438-9722",
"fax_number": "518-438-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEARN",
"first_name": "NANCY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "NPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "401193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.