Individual provider Active NPI

Lanajean McCloy, PSY.D.

  • Clinical Psychologist
  • Newton, MA
National Provider Identifier
1841667078
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10787 Issued in MA
Practice address
15 Cypress St Ste 201
Newton, MA 02459-2242
Phone
(781) 423-1670
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X
Clinical Psychologist 103TC0700X 10787 MA Primary

Addresses

Primary practice location

15 Cypress St Ste 201
Newton, MA 02459-2242

Mailing address

15 Cypress St Ste 201
Newton, MA 02459-2242
Phone (781) 423-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 18, 2021 through Dec 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lanajean McCloy Psy.D. LLC CurrentSince Jun 28, 2020 Accepting new patients
Child and Family Psychological Services, PLLC Clinical PastSince Dec 1, 2020 Accepting new patients
Commonwealth Psychology Associates Clinical Past Accepting new patients

Locations

15 Cypress St
Ste 201
Newton, MA 02459
Phone (781) 423-1670

Organizations & group practices 3

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": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1841667078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CYPRESS ST STE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592242",
            "telephone_number": "781-423-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CYPRESS ST STE 201",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592242",
            "telephone_number": "781-423-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOY",
        "first_name": "LANAJEAN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.