Beverly Clancy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

601 Franklin St Ste 103
Michigan City, IN 46360-3552

Phone

(219) 877-4772

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lawrence Pincus & Associates, Inc.

  • Marriage & Family Therapist
  • Michigan City, IN
  • NPI 1346563004
  NPD (past)
• Lpa Co.

  • Marriage & Family Therapist
  • Valparaiso, IN
  • NPI 1952852105
  NPD (past)

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1851876858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 VALPARAISO ST STE 209",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833331",
            "telephone_number": "219-252-5464",
            "fax_number": "219-728-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN ST STE 103",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463603552",
            "telephone_number": "219-877-4772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Valparaiso St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463833331",
            "country_code": "US",
            "telephone_number": "219-252-5464",
            "fax_number": "219-728-1860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "BEVERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Tattersall M D (Vsacular Interventions, LLC)
• Anil Chawla, MD
• Chest Clinic, PC
• Sang Young Chyung, M.D.
• Cindy's Transportation LLC
• Elizabeth Clements
• Seth Jeremy Clifford, DO
• Logan Cloyd, PHARMD
• John Douglas Coalter, O.D.
• Theresa Coe, PT

• Marriage & Family Therapist in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.