Joann Elizabeth McCain, PSY.D.
Individual provider Active NPI Clinical Psychologist · Southern Pines, NC
NPI 1861534430 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1861534430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 4994 (NC)
- Practice address
- 116 Brandt LN
Southern Pines, NC 28387-4200 - Phone
- (910) 639-5858
- Fax
- (910) 692-1010
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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)
116 Brandt LN
Southern Pines, NC 28387-4200
Phone (910) 639-5848
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170309000435 | NC | Practitioner - Clinical Psychologist | 5799069845 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4994 | NC | MD | Audiologist |
| 016584 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jody McCain, PSYD PLLC | Clinical | Current |
Accepting new patients |
| Deborah C. James | Past |
Accepting new patients |
Locations
780 NW Broad St
Ste 600
Southern Pines, NC 28387
Phone (910) 690-4451
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35SI00436900 | NJ | |
| Clinical Psychologist | 103TC0700X | 016584 | NY | |
| Clinical Psychologist | 103TC0700X | 4994 | NC | Yes |
Addresses
Primary practice location
116 Brandt LN
Southern Pines, NC 28387-4200
Mailing address
116 Brandt LN
Southern Pines, NC 28387-4200
Phone (910) 639-5848
Other providers in Southern Pines, NC
- Brooks Bellamy Mays
- Uzoma Christine Mbonu
- Jessica McAlpine
- Stephanie McAuley
- Kate McBride
- Cynthia Denise McCall
- Hattie Danielle McCall
- Jennifer Marie McCall
- Kasey Michelle McCann
- Mary Kay McClure
All providers in Southern Pines, NC · Clinical Psychologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.