Lisa Nicole McCleary

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36982 Issued in TX

Practice address

518 E Hospital St
Nacogdoches, TX 75961-5239

Phone

(936) 462-5877

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1528689593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E CALIFORNIA ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759653567",
            "telephone_number": "936-645-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E HOSPITAL ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759615239",
            "telephone_number": "936-462-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEARY",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "70636",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36982",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "4551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequoyah Mayfield
• Vickie McCarley, SLP
• Debra E McCarthy, CNM
• Amanda McCarty, PA-C
• Loree McCary, ATC, LAT
• Gary Warren McClinton, DC
• Claudia Rae Shae McCollough, APRN-CNM
• Rebecca Kate McConnell, APRN, FNP-C
• Joe Warren McCracken, M.ED., L.P.C.
• Bruce Allan McCrary, L.A.T., A.T.C

• Psychologist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.