Active NPI
Bobbie Mae McClung, MA
- School Psychologist
- Fayetteville, WV
National Provider Identifier
1457549206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 10014
- Practice address
- 111 Fayette Ave
Fayette County Schools
Fayetteville, WV 25840 - Phone
- (304) 574-1176
- Fax
- (304) 574-3643
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 10014 | WV | Primary |
Addresses
Primary practice location
111 Fayette Ave
Fayette County Schools
Fayetteville, WV 25840
Mailing address
PO Box 98
Mount Lookout, WV 26678-0098
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10014 | WV | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayette County Board of Education | Past | Accepting new patients | |
| Fayette County Board of Education | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Fayetteville, WV
- NPI 1568662609
-
- Local Education Agency (LEA)
- Fayetteville, WV
- NPI 1760651483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1457549206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "MOUNT LOOKOUT",
"state": "WV",
"postal_code": "266780098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FAYETTE AVE",
"address_2": "FAYETTE COUNTY SCHOOLS",
"city": "FAYETTEVILLE",
"state": "WV",
"postal_code": "25840",
"telephone_number": "304-574-1176",
"fax_number": "304-574-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUNG",
"first_name": "BOBBIE",
"middle_name": "MAE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WV",
"license": "10014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.