DR. SHAWN MICHAEL MCCLINTOCK (NPI# 1417381203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417381203 |
| Entity Type | Individual |
| Full Name | DR. SHAWN MICHAEL MCCLINTOCK |
| Credential | PHD |
| Practice Address |
5323 Harry Hines Boulevard Dallas TX 75390-7208 |
| Mailing Address |
P.o. Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146458300 |
| Practice Fax Number | 2146454871 |
| Mailing Telephone | 2146458300 |
| Mailing Fax Number | 2146454871 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 36143 | TX | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 36143 | TX | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4455 | NC | Behavioral Health & Social Service Providers |
| Street Address |
5323 HARRY HINES BOULEVARD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558365510 | David Edward Rogers | Obstetrics & Gynecology | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2005-06-08 |
| 1558986273 | Lauren Bell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-7200 | 2020-06-09 |
| 1881214070 | Rosalina Magalhaes Pereira | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-17 |
| 1124647367 | Emma Lucille Van Winkle | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-9109 | 2020-04-08 |
| 1902434061 | Nicholas Cain Boswell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-01 |
| 1063040566 | Jeffrey Isaac Traylor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-30 |
| 1639706245 | Sarah Reddy | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-24 |
| 1427603273 | Molly Bryant | Nurse Practitioner | 5323 Harry Hines Boulevard, Dallas, TX 75390-9257 | 2019-08-08 |
| 1316509995 | Emily Wong | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-03 |
| 1548822463 | Neha Hanoman Rajput | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330864 | Annelizabeth Robinson Carlew | Clinical Neuropsychologist | 6333 Forest Park Rd 1st Fl Bla.100, Dallas, TX 75390-5461 | 2020-03-11 |
| 1255815072 | Seema Pandya | Clinical Neuropsychologist | 9101 N Central Expy Ste 230, Dallas, TX 75231-6079 | 2018-09-18 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1235679283 | David Denney | Clinical Neuropsychologist | 6303 Forest Park Road, Dallas, TX 75390-6373 | 2017-02-24 |
| 1487100517 | Joan Mayfield | Clinical Neuropsychologist | 9735 Windham Dr, Dallas, TX 75243-2320 | 2016-08-29 |
| 1225441355 | North Texas Neurorehabilitation Center Pa | Clinical Neuropsychologist | 4315 San Gabriel Dr, Dallas, TX 75229-4131 | 2014-06-05 |
| 1699026864 | Andrea Hester, Phd, Pllc | Clinical Neuropsychologist | 12820 Hillcrest Rd Ste C-100, Dallas, TX 75230-1526 | 2012-09-27 |
| 1629223557 | Carlos Daniel Marquez De La Plata | Clinical Neuropsychologist | 4101 Mcewen Rd Ste 318, Dallas, TX 75244-5257 | 2008-11-19 |
| 1013036912 | Ronald George Paulman | Clinical Neuropsychologist | 9400 N. Central Expy., Suite 1212, Dallas, TX 75231-5032 | 2007-03-29 |
| 1346370442 | Kris Weber | Clinical Neuropsychologist | 7557 Rambler Rd Ste 700, Dallas, TX 75231-2321 | 2007-03-07 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.