Active NPI
Jessica McCleese, PSYD
- Psychologist
- Virginia Beach, VA
National Provider Identifier
1366870768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810005219
- Practice address
- 505 S Independence Blvd Ste 213
Virginia Beach, VA 23452-1150 - Phone
- (757) 347-8807
- NPI assigned
- Oct 22, 2013
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810005219 | VA | Primary |
Addresses
Primary practice location
505 S Independence Blvd Ste 213
Virginia Beach, VA 23452-1150
Mailing address
505 S Independence Blvd Ste 213
Virginia Beach, VA 23452-1150
Phone (757) 761-3334
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005219 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1366870768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S INDEPENDENCE BLVD STE 213",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521150",
"telephone_number": "757-761-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S INDEPENDENCE BLVD STE 213",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521150",
"telephone_number": "757-347-8807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEESE",
"first_name": "JESSICA",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-22",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810005219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.