Organization Active NPI

Jo Lynn McClain, Psy.D.

  • Clinical Psychologist
  • Martinsville, VA
National Provider Identifier
1548643141
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810000335 Issued in VA
Legal business name
JO LYNN MCCLAIN, PSY.D.
Practice address
1079 Spruce St
Ste a
Martinsville, VA 24112-4527
Phone
(276) 632-3572
Fax
(276) 638-5287
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Dr. Jo Lynn McClain, PSY.D.NPI 1194785329
Title
Psychologist
Phone
(276) 632-3572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0810000335 VA Primary

Addresses

Primary practice location

1079 Spruce St
Ste a
Martinsville, VA 24112-4527

Mailing address

1079 Spruce St
Ste a
Martinsville, VA 24112-4527
Phone (276) 632-3572

Other identifiers 1

IdentifierTypeStateIssuer
190002166OtherVAMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1548643141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 SPRUCE ST",
            "address_2": "STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124527",
            "telephone_number": "276-632-3572",
            "fax_number": "276-638-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 SPRUCE ST",
            "address_2": "STE A",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241124527",
            "telephone_number": "276-632-3572",
            "fax_number": "276-638-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO LYNN MCCLAIN, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "276-632-3572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "190002166",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.