Active NPI
Linda Ann McClellan, DO PHD
- Psychiatry Physician
- White City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M7487
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200310260A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 531087 | KS | MD | Psychiatry Physician |
| 00116224 | MO | MD | Psychiatry Physician |
| M7487 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry of Texas PLLC | Psychiatry | Current | Accepting new patients |
| Psychplus Medical Associates, PLLC | Psychiatry | Current | Accepting new patients |
| Missouri United Psych LLC | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Cape Girardeau, MO
- NPI 1255207023
-
- Family Medicine Physician
- Houston, TX
- NPI 1558118026
IL, MO, Psychiatry
-
- Psychiatric Hospital
- Cape Girardeau, MO
- NPI 1700485281
Psychiatry
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.