Susan Foti McClanahan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005162 Issued in IL

Practice address

333 E Ontario St Apt 4401B
Chicago, IL 60611-4895

Phone

(312) 337-6064

Fax

(847) 729-5462

NPI assigned

Aug 16, 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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Springsource Psychological Center PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1033735550

  Clinical

  NPD Authorized official
• Springsource Psychological Center PLLC

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1447192422
  NPD Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1598878282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N. MICHIGAN AVE",
            "address_2": "SUITE 1900",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013994",
            "telephone_number": "312-337-6064",
            "fax_number": "847-729-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E ONTARIO ST APT 4401B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114895",
            "telephone_number": "312-337-6064",
            "fax_number": "847-729-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "SUSAN",
        "middle_name": "FOTI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0081645190",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Marie McClain
• Jessica Eileen McClain, MD
• Maurice McClain, LCPC AND CADC
• Megan McClain, MS, OTR/L
• Glenn Martin McClanahan, PH.D.
• Stacie D McClane, D.R.
• India McClary
• Matthew McClary, CNP
• Alison McClean
• Anna McClellan, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.