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MARY JANE MCLELLAN Ph.D, NPI 1407853625

Psychologist in FLAGSTAFF, AZ

Last Updated on : Jul 09,2007

MARY JANE MCLELLAN Ph.D, NPI 1407853625

About MARY JANE MCLELLAN (NPI 1407853625)


MARY JANE MCLELLAN is a Psychologist provider in FLAGSTAFF, United States. Her medical specialization is Psychologist .

1407853625 is NPI number of MARY JANE MCLELLAN.

MARY JANE MCLELLAN's primary taxonomy code based on NPI Lookup is 103T00000X with license number 3087. This taxonomy code refers to Psychologist.

MARY JANE MCLELLAN has more than 16 years of experience.

MARY JANE MCLELLAN current practice location address is 2415 W KILTIE LN, FLAGSTAFF, AZ. MARY JANE MCLELLAN can be reached out via phone at 928-774-3086 and via fax at 928-213-8507 .

You can also correspond with MARY JANE MCLELLAN through mail at mailing address 2415 W KILTIE LN, FLAGSTAFF, AZ, United States. Mailing address contact number is 928-774-3086.

The enumeration date of MARY JANE MCLELLAN is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1407853625 NPI Information

Basic NPI information of MARY JANE MCLELLAN (NPI 1407853625) is provided below.

Name MARY JANE MCLELLAN
National Provider Id (NPI) 1407853625
Entity Type Individual
Gender F
Credential Ph.D
Practice Address 2415 W KILTIE LN,
FLAGSTAFF, AZ, United States
Practice Telephone 928-774-3086
Practice Fax Number 928-213-8507
Mailing Address 2415 W KILTIE LN ,
FLAGSTAFF, AZ, United States
Mailing Telephone 928-774-3086
Mailing Fax Number 928-213-8507
Enumeration Date 01-Jul-2005
Last Updated Date 09-Jul-2007

MARY JANE MCLELLAN (NPI 1407853625) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 103T00000X Psychologist 3087 AZ

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

MARY JANE MCLELLAN (NPI 1407853625) Secondary Taxonomy Information

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.

Primary Taxonomy Code Clasification License Number License State
N 103T00000X Psychologist 1077 VA

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
361650 MEDICAID (05) AZ

MARY JANE MCLELLAN (NPI 1407853625) Office Location

Office location of MARY JANE MCLELLAN is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1275690331 MARY ANN PASTERNACKI Nurse Practitioner, Family 1016 W UNIVERSITY AVE, STE 206
FLAGSTAFF, AZ, United States
01-Jan-2007
1376600171 KAREN KATHRYN DAMGAARD Physician Assistant, Medical 2920 N 4TH ST,
FLAGSTAFF, AZ, United States
02-Jan-2007
1801166228 CHANDEL MARIE BECK Specialist/Technologist, Speech-Language Assistant 3002 N PARK DR # A,
FLAGSTAFF, AZ, United States
02-Jan-2012
1275511156 GREGORY DANIEL NOVAK Pathology, Clinical Pathology/Laboratory Medicine 1200 N BEAVER ST, PAYER CREDENTIALING
FLAGSTAFF, AZ, United States
03-Jan-2006
1225185366 MARI DOLORES DIECKMAN Physical Therapist 125 E ELM AVE, SUITE 103
FLAGSTAFF, AZ, United States
04-Jan-2007
1013064120 KIRSTEN M MELLINGER Optometrist 940 N SWITZER CYN DR #101,
FLAGSTAFF, AZ, United States
04-Jan-2007
1639440217 LAUREN DRIEBE Pharmacist 2708 N 4TH ST, STE. C-2
FLAGSTAFF, AZ, United States
13-Jan-2012
1982974101 PETER H. VU Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 2920 N 4TH ST,
FLAGSTAFF, AZ, United States
04-Jan-2012
1578929717 ERIC FREAS Student in an Organized Health Care Education/Training Program 2801 N IZABEL ST,
FLAGSTAFF, AZ, United States
04-Jan-2016
1164995882 FAMILY INVOLVEMENT CENTER, INC Community/Behavioral Health 5333 N 7TH ST STE A100,
PHOENIX, AZ, United States
04-Jan-2019
1639226160 STEVEN C FINGER Psychologist, Counseling 408 N KENDRICK ST, SUITE 3
FLAGSTAFF, AZ, United States
05-Jan-2007
1184772469 THERESE ANN GIORSETTI Speech-Language Pathologist, 3305 N HARRIS WAY,
FLAGSTAFF, AZ, United States
05-Jan-2007
1073935326 HOPE LIVES - VIVE LA ESPERANZA Community/Behavioral Health 1016 E BUCKEYE RD, SUITE 145
PHOENIX, AZ, United States
06-Jan-2014
1770029365 OASIS DENTAL SERVICES, PLLC Clinic/Center, Dental 930 N SWITZER CANYON DR, #200
FLAGSTAFF, AZ, United States
06-Jan-2017
1356672364 ANGELA ROCKOW Speech-Language Pathologist, 1640 N DORAL WAY,
FLAGSTAFF, AZ, United States
15-Jan-2010
1407329519 L. SCOTT SEAMAN, DDS, PLLC Clinic/Center, Dental 901 N BEAVER ST,
FLAGSTAFF, AZ, United States
10-Jan-2019
1376691899 ANSLEM GENE YAZZIE Psychologist, School 119 S SPRING ST,
FLAGSTAFF, AZ, United States
08-Jan-2007
1356499883 LOUISE LILLIAN HEERENS MERKEL Speech-Language Pathologist, 6887 N ELK TANK RD,
FLAGSTAFF, AZ, United States
08-Jan-2007
1851538995 ANDREW WAINE GARDNER Behavior Analyst 906 W UNIVERSITY AVE - SUITE #120, BEHAVIORAL CONSULTATION SERVICES OF NORTHERN ARIZONA
FLAGSTAFF, AZ, United States
12-Jan-2009
1003323338 TANYA LEE MORGAN TWEED Dietitian, Registered 4163 S EMERALD FOREST DR,
FLAGSTAFF, AZ, United States
09-Jan-2018

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1407853625?

1407853625 is the NPI number of MARY JANE MCLELLAN.

What is the specialty for MARY JANE MCLELLAN?

The Specialty of MARY JANE MCLELLAN is Psychologist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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