Individual provider Active NPI

James McClymonds, PSY.D., HSPP

  • Psychologist
  • Chicago, IL
National Provider Identifier
1679855209
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20042930A Issued in IN
Practice address
55 E Monroe St Ste 3800
Chicago, IL 60603-6030
Phone
(312) 348-6296
Fax
(312) 881-7501
NPI assigned
Sep 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X 20042930A IN Primary
Clinical Psychologist 103TC0700X 071.009367 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
Phone (312) 348-6296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170508000509 IL Practitioner - Clinical Psychologist 3870870595 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
McClymonds Psychological ServicesGroup PAC ID 5597007112, 2 clinicians

Practice addresses (Care Compare)

1000 Jefferson St
Suite 2C
Lynchburg, VA 24504-1723

205 W Randolph St
Suite 2201
Chicago, IL 60606-1827
Phone 31234862961

55 E Monroe St
Suite 3800
Chicago, IL 60603-6030
Phone (312) 348-6296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20042930AINMDPsychologist
071.009367ILMDClinical Psychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1679855209",
    "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",
            "telephone_number": "312-348-6296",
            "fax_number": "312-881-7501"
        },
        {
            "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": "312-348-6296",
            "fax_number": "312-881-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLYMONDS",
        "first_name": "JAMES",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042930A",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.