Active NPI
Naomi Beth McCormick, PH.D.
- Clinical Psychologist
- Cedar Falls, IA
National Provider Identifier
1922045244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00809
- Practice address
- 2717 Minnetonka Dr
Clinical Health Psychologists, PLC
Cedar Falls, IA 50613-1531 - Phone
- (319) 240-7456
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00809 | IA | Primary |
| Health Psychologist | 103TH0004X | 000809 | IA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 000809 | IA |
Addresses
Primary practice location
2717 Minnetonka Dr
Clinical Health Psychologists, PLC
Cedar Falls, IA 50613-1531
Mailing address
PO Box 1066
Clinical Health Psychologists, PLC
Cedar Falls, IA 50613-0048
Phone (319) 240-7456
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142854 | Other | VALUE OPTIONS | |
| 174144000 | Medicaid | IA | |
| 22718 | Other | IA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338 | IA | MD | Mental Health Counselor |
| 000809 | IA | MD | Health Psychologist |
| 00809 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1922045244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1066",
"address_2": "CLINICAL HEALTH PSYCHOLOGISTS, PLC",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506130048",
"telephone_number": "319-240-7456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 MINNETONKA DR",
"address_2": "CLINICAL HEALTH PSYCHOLOGISTS, PLC",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506131531",
"telephone_number": "319-240-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "NAOMI",
"middle_name": "BETH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "00809",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "IA",
"license": "000809",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IA",
"license": "000809",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "142854",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174144000",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "22718",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.