Active NPI
Michael McClay, PH.D.
- Clinical Psychologist
- Boise, ID
National Provider Identifier
1356364111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 240
- Practice address
- 600 Robbins Rd
Suite 101
Boise, ID 83702-4539 - Phone
- (208) 489-4040
- Fax
- (208) 489-4064
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 240 | ID | Primary |
Addresses
Primary practice location
600 Robbins Rd
Suite 101
Boise, ID 83702-4539
Mailing address
582 E Boise Ave
PMB 222
Boise, ID 83706-5116
Phone (208) 489-4040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083361 | Other | ID | REGENCE BLUE SHIELD PIN |
| N-2407 | Other | ID | BLUE CROSS OF IDAHO PIN |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 240 | ID | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356364111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "582 E BOISE AVE",
"address_2": "PMB 222",
"city": "BOISE",
"state": "ID",
"postal_code": "837065116",
"telephone_number": "208-489-4040",
"fax_number": "208-489-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ROBBINS RD",
"address_2": "SUITE 101",
"city": "BOISE",
"state": "ID",
"postal_code": "837024539",
"telephone_number": "208-489-4040",
"fax_number": "208-489-4064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAY",
"first_name": "MICHAEL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "PSY 240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "083361",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF IDAHO PIN",
"identifier": "N-2407",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.