Active NPI
Amanda McCleery, PH.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1629486741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY26913
- Practice address
- UCLA Aftercare Research Program 300 Medical PLZ
Suite 2240
Los Angeles, CA 90095-0001 - Phone
- (310) 206-8979
- NPI assigned
- Aug 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY26913 | CA | Primary |
Addresses
Primary practice location
UCLA Aftercare Research Program 300 Medical PLZ
Suite 2240
Los Angeles, CA 90095-0001
Mailing address
300 Medical PLZ
Room 2240
Los Angeles, CA 90095-0001
Phone (310) 206-8979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26913 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433635200000",
"number": "1629486741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MEDICAL PLZ",
"address_2": "ROOM 2240",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-206-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCLA AFTERCARE RESEARCH PROGRAM 300 MEDICAL PLZ",
"address_2": "SUITE 2240",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-206-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLEERY",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-01",
"last_updated": "2015-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY26913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.