Paula C McNitt, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071003710 Issued in IL

Practice address

200 Lerna Rd S
Mattoon, IL 61938-9388

Phone

(217) 258-5900

Fax

(217) 258-3686

NPI assigned

May 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1568413490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST.",
            "address_2": "BWPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012500",
            "telephone_number": "217-383-6792",
            "fax_number": "217-383-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LERNA RD S",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619389388",
            "telephone_number": "217-258-5900",
            "fax_number": "217-258-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNITT",
        "first_name": "PAULA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070-003710",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura McHenry, BS
• David McIntyre, BA
• James Keith McKechnie, M.D.
• Gabe E McKibben
• Justin Douglas McKinnie
• Elizabeth McQueen, B.A.
• Haley McQueen, DPT
• MDT Holistic Healing and Counseling
• Louis B Mendella, DO
• Lynn K Merli, RPH

• Clinical Psychologist in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.