Individual provider Active NPI

Joann Elizabeth McCain, PSY.D.

  • Clinical Psychologist
  • Southern Pines, NC
National Provider Identifier
1861534430
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4994 Issued in NC
Practice address
116 Brandt LN
Southern Pines, NC 28387-4200
Phone
(910) 639-5858
Fax
(910) 692-1010
NPI assigned
Feb 12, 2007
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00436900 NJ
Clinical Psychologist 103TC0700X 016584 NY
Clinical Psychologist 103TC0700X 4994 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170309000435 NC Practitioner - Clinical Psychologist 5799069845 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)

116 Brandt LN
Southern Pines, NC 28387-4200
Phone (910) 639-5848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4994NCMDPharmacist
016584NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jody McCain, PSYD PLLC Clinical CurrentSince Jan 2, 2017 Accepting new patients
Deborah C. James PastSince Sep 10, 2023 Accepting new patients

Locations

780 NW Broad St
Ste 600
Southern Pines, NC 28387
Phone (910) 690-4451

Organizations & group practices 2

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1861534430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BRANDT LN",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874200",
            "telephone_number": "910-639-5848",
            "fax_number": "910-692-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BRANDT LN",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874200",
            "telephone_number": "910-639-5858",
            "fax_number": "910-692-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "JOANN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00436900",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016584",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.