Active NPI
Gordon M McLennan, PSY.D.
- Clinical Psychologist
- N Dartmouth, MA
National Provider Identifier
1831246974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4690
- Practice address
- 285 Old Westport Rd
Counseling Center,University of Massachusetts Dartmouth
N Dartmouth, MA 02747-2356 - Phone
- (508) 999-8656
- Fax
- (508) 999-9192
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4690 | MA | Primary |
Addresses
Primary practice location
285 Old Westport Rd
Counseling Center,University of Massachusetts Dartmouth
N Dartmouth, MA 02747-2356
Mailing address
285 Old Westport Rd
University of Massachusetts Dartmouth
N Dartmouth, MA 02747-2356
Phone (508) 999-8656
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4690 | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Massachusetts | Clinical | Past | Accepting new patients |
| University of Massachusetts | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- North Dartmouth, MA
- NPI 1043418882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831246974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 OLD WESTPORT RD",
"address_2": "UNIVERSITY OF MASSACHUSETTS DARTMOUTH",
"city": "N DARTMOUTH",
"state": "MA",
"postal_code": "027472356",
"telephone_number": "508-999-8656",
"fax_number": "508-999-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 OLD WESTPORT RD",
"address_2": "COUNSELING CENTER,UNIVERSITY OF MASSACHUSETTS DARTMOUTH",
"city": "N DARTMOUTH",
"state": "MA",
"postal_code": "027472356",
"telephone_number": "508-999-8656",
"fax_number": "508-999-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLENNAN",
"first_name": "GORDON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Dartmouth, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.