Provider Demographics
NPI:1235235888
Name:PSYCH SERVICES PC
Entity Type:Organization
Organization Name:PSYCH SERVICES PC
Other - Org Name:ELVERA E. MCLEES, PH.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELVERA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCLEES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:276-619-5888
Mailing Address - Street 1:PO BOX 982
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24212-0982
Mailing Address - Country:US
Mailing Address - Phone:276-619-5888
Mailing Address - Fax:
Practice Address - Street 1:390 COMMERCE DR
Practice Address - Street 2:SUITE C
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-3876
Practice Address - Country:US
Practice Address - Phone:276-619-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810000337103TC0700X
VA01010588152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACK3211Medicare ID - Type UnspecifiedRR MEDICARE
VAC06955Medicare ID - Type UnspecifiedC06955