Individual provider Active NPI

John T McClure, PHD

  • Clinical Psychologist
  • Knoxville, TN
National Provider Identifier
1518043231
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P0000001345 Issued in TN
Practice address
108 West Summitt Hill Drive
Knoxville, TN 37902
Phone
(865) 525-1099
Fax
(865) 525-7494
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P0000001345 TN Primary

Addresses

Primary practice location

108 West Summitt Hill Drive
Knoxville, TN 37902

Mailing address

108 West Summitt Hill Drive
Knoxville, TN 37902
Phone (865) 525-1099

Other identifiers 1

IdentifierTypeStateIssuer
3135526OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120511000143 TN Practitioner - Clinical Psychologist 1951564848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P0000001345TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Counseling Services, Inc CurrentSince Oct 1, 2013 Accepting new patients

Locations

5410 Homberg Dr
Ste 14
Knoxville, TN 37919
Phone (865) 216-2043

6305 Lonas Dr
Ste 101
Knoxville, TN 37909
Phone (865) 584-0291

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1518043231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WEST SUMMITT HILL DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37902",
            "telephone_number": "865-525-1099",
            "fax_number": "865-525-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WEST SUMMITT HILL DRIVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37902",
            "telephone_number": "865-525-1099",
            "fax_number": "865-525-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000001345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3135526",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.