Individual provider Active NPI

John Edward McHale Jr., EDD

  • Clinical Psychologist
  • East Dennis, MA
National Provider Identifier
1568537975
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4292 Issued in MA
Practice address
1070 Route 134
East Dennis, MA 02641-0000
Phone
(508) 394-7525
Fax
(833) 354-0981
NPI assigned
Nov 21, 2006
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4292 MA
Clinical Psychologist 103TC0700X 4292 MA Primary

Addresses

Primary practice location

1070 Route 134
East Dennis, MA 02641-0000

Mailing address

30 Johnson Lane
West Yarmouth, MA 02673-2753
Phone (508) 394-7525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080528000471 MA Practitioner - Clinical Psychologist 6800966243 Practice locations: East Dennis, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Harvard Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1070 Route 134
East Dennis, MA 02601
Phone (508) 394-7525

30 Johnson LN
West Yarmouth, MA 02673-2753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC PastSince Nov 20, 1998 Accepting new patients
South Shore Mental Health Center, Inc. PastSince Apr 1, 2009 Accepting new patients
South Shore Mental Health Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1568537975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JOHNSON LANE",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026732753",
            "telephone_number": "508-394-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 ROUTE 134",
            "city": "EAST DENNIS",
            "state": "MA",
            "postal_code": "026410000",
            "telephone_number": "508-394-7525",
            "fax_number": "833-354-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHALE",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4292",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Dennis, MA

Sources for this page

Verify at the official NPI Registry.