NPIMap

Organization Active NPI

Dr McCarty Clinical Psychologist LLC

  • Clinical Psychologist
  • Jefferson City, MO
National Provider Identifier
1982853834
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR MCCARTY CLINICAL PSYCHOLOGIST LLC
Practice address
312 E Capitol Ave
Dr McCarty Clinical Psychologist LLC
Jefferson City, MO 65101-3055
Phone
(573) 635-7166
Fax
(573) 634-7431
NPI assigned
Sep 16, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mr. Rhett McCarty, PSYDNPI 1578669859
Title
Member
Phone
(573) 635-7166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

312 E Capitol Ave
Dr McCarty Clinical Psychologist LLC
Jefferson City, MO 65101-3055

Mailing address

312 E Capitol Ave
Dr McCarty Clinical Psychologist LLC
Jefferson City, MO 65101-3055
Phone (573) 635-7166

National Provider Directory

National Provider Directory

Locations

312 E Capitol Ave
Jefferson City, MO 65101
Phone (573) 635-7166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1982853834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E CAPITOL AVE",
            "address_2": "DR MCCARTY CLINICAL PSYCHOLOGIST LLC",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013055",
            "telephone_number": "573-635-7166",
            "fax_number": "573-634-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E CAPITOL AVE",
            "address_2": "DR MCCARTY CLINICAL PSYCHOLOGIST LLC",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013055",
            "telephone_number": "573-635-7166",
            "fax_number": "573-634-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MCCARTY CLINICAL PSYCHOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "RHETT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-635-7166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.