Organization Active NPI

McBride Psychological Services, PLLC

  • Psychologist
  • North Tonawanda, NY
National Provider Identifier
1013796655
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MCBRIDE PSYCHOLOGICAL SERVICES, PLLC
Practice address
84 Sweeney St Ste C3
North Tonawanda, NY 14120-5822
Phone
(716) 296-4745
NPI assigned
Sep 25, 2023
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Christine McBride, PSY.D.NPI 1437565785
Title
Owner
Phone
(716) 296-4745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

84 Sweeney St Ste C3
North Tonawanda, NY 14120-5822

Mailing address

84 Sweeney St Ste C3
North Tonawanda, NY 14120-5822
Phone (716) 296-4745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240326002684 NY Part B Supplier - Clinic/Group Practice 6901243971 Receives reassigned benefits from 1 practitioner
Practice locations: North Tonawanda, NY

National Provider Directory

National Provider Directory

Locations

84 Sweeney St
Ste C3
North Tonawanda, NY 14120
Phone (716) 296-4745

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": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1013796655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SWEENEY ST STE C3",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205822",
            "telephone_number": "716-296-4745",
            "fax_number": "425-697-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SWEENEY ST STE C3",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205822",
            "telephone_number": "716-296-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBRIDE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-296-4745",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.