Robert W McLellarn, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

634 Issued in OR

Practice address

5440 SW Westgate Dr
#175
Portland, OR 97221-2420

Phone

(503) 297-3334

Fax

(503) 297-5744

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Robert W McLellarn, PHD

  • Cognitive & Behavioral Psychologist
  • Portland, OR
  • NPI 1174813539
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811009517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 SW WESTGATE DR",
            "address_2": "#175",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212420",
            "telephone_number": "503-297-3334",
            "fax_number": "503-297-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 SW WESTGATE DR",
            "address_2": "#175",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212420",
            "telephone_number": "503-297-3334",
            "fax_number": "503-297-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLELLARN",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo McLean
• Evelyn Christine McLean, CADC-R
• Julia McLean
• Margaret Josephine McLean, CRNA
• Olaf McLean
• Shelley McLendon, LPC
• Victoria Joy McLennan, LPN
• Aleksandra A McLeod, M.D.
• Chris McLeod
• Mary Alice McLeod, PHARMD

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.