Individual provider Active NPI

Carol McLean, PH.D.

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1851412621
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3550 Issued in AZ
Practice address
8687 E Via de Ventura Ste 214
Scottsdale, AZ 85258-3346
Phone
(480) 659-5563
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3550 AZ Primary

Addresses

Primary practice location

8687 E Via de Ventura Ste 214
Scottsdale, AZ 85258-3346

Mailing address

8687 E Via de Ventura Ste 214
Scottsdale, AZ 85258-3346
Phone (480) 659-5563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200203000825 AZ Practitioner - Clinical Psychologist 9032545496 Reassigns benefits to 1 organization
I20241204003434 TX Practitioner - Clinical Psychologist 9032545496 Reassigns benefits to 1 organization
I20241211000258 FL Practitioner - Clinical Psychologist 9032545496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15720 N Greenway Hayden Loop
Suite 2
Scottsdale, AZ 85260-1796
Phone (480) 659-5563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental & Educational Psychological Services Psychologist CurrentSince Dec 4, 2019 Accepting new patients

Locations

8687 E Via de Ventura
Ste 214
Scottsdale, AZ 85258
Phone (480) 659-5563

15720 N Greenway Hayden Loop
Ste 2
Scottsdale, AZ 85260
Phone (480) 659-5562

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1851412621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA STE 214",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583346",
            "telephone_number": "480-659-5563",
            "fax_number": "480-584-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA STE 214",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583346",
            "telephone_number": "480-659-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.