Active NPI
McClymonds Psychological Services
- Clinical Psychologist
- Chicago, IL
National Provider Identifier
1649792078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.009367
- Legal business name
- MCCLYMONDS PSYCHOLOGICAL SERVICES
- Doing business as
- McClymonds Psychological Services
- Practice address
- 55 E Monroe St Ste 3800
Chicago, IL 60603-6030 - Phone
- (312) 881-6296
- NPI assigned
- Jul 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James McCylmonds, PSY. D.
- Title
- Owner
- Phone
- (312) 881-6296
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.009367 | IL | Primary |
| Health Service Psychologist | 103TH0100X | 20042930A | IL |
Addresses
Primary practice location
55 E Monroe St Ste 3800
Chicago, IL 60603-6030
Mailing address
55 E Monroe St Ste 3800
Chicago, IL 60603-6030
Other names 1
- McClymonds Psychological Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
205 W Randolph St
Ste 2201
Chicago, IL 60606
Phone (312) 348-6296
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1932885852
-
- Psychologist
- Chicago, IL
- NPI 1679855209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523923200000",
"number": "1649792078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E MONROE ST STE 3800",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606036030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E MONROE ST STE 3800",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606036030",
"telephone_number": "312-881-6296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCLYMONDS PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-07",
"last_updated": "2018-04-17",
"status": "A",
"authorized_official_last_name": "MCCYLMONDS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-881-6296",
"authorized_official_credential": "PSY. D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.009367",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": "IL",
"license": "20042930A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McClymonds Psychological Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "McClymonds Psychological Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.