Individual provider Active NPI

Linda Ann McClellan, DO PHD

  • Psychiatry Physician
  • White City, OR
National Provider Identifier
1851389118
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M7487 Issued in TX
Practice address
8495 Crater Lake Hwy
White City, OR 97503-3011
Phone
(541) 826-2111
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M7487 TX Primary
Psychiatry Physician 2084P0800X 531087 KS
Psychiatry Physician 2084P0800X 00116224 MO

Addresses

Primary practice location

8495 Crater Lake Hwy
White City, OR 97503-3011

Mailing address

8495 Crater Lake Hwy
White City, OR 97503
Phone (541) 826-2111

Other identifiers 1

IdentifierTypeStateIssuer
200310260AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080414000525 TX Practitioner - Psychiatry 6305896648 Reassigns benefits to 2 organizations
I20241203002974 MO Practitioner - Psychiatry 6305896648 Reassigns benefits to 3 organizations
I20251211002294 IL Practitioner - Psychiatry 6305896648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone 8328694818235

639 S Silver Springs Rd
Cape Girardeau, MO 63703-7539
Phone 8328694818235

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
531087KSMDPsychiatry Physician
00116224MOMDPsychiatry Physician
M7487TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince Dec 6, 2024 Accepting new patients
Missouri United Psych LLC Psychiatry CurrentSince Dec 7, 2025 Accepting new patients
Cape Girardeau Behavioral Health LLC Psychiatry Past Accepting new patients

Locations

1431 McHenry Rd
Ste 105
Buffalo Grove, IL 60089
Phone (708) 286-1264

14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325

639 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 708-5000

1834 Broadway St
Cpe Girardeau, MO 63701
Phone (573) 334-5070

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

1815 Thompson St
Houston, TX 77007

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

Organizations & group practices 4

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1851389118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "97503",
            "telephone_number": "541-826-2111",
            "fax_number": "713-627-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975033011",
            "telephone_number": "541-826-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "M7487",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "531087",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "00116224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200310260A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White City, OR

Sources for this page

Verify at the official NPI Registry.