Organization Active NPI

Maureen McGarty Psychologist PC

  • Psychologist
  • San Dimas, CA
National Provider Identifier
1053514240
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY001230 Issued in GA
Legal business name
MAUREEN MCGARTY PSYCHOLOGIST PC
Practice address
531 San Marcos Road
San Dimas, CA 91773-3331
Phone
(706) 340-6131
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Dr. Maureen Ann McGarty, PH.D.NPI 1669503041
Title
President
Phone
(706) 340-6131

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY001230 GA Primary

Addresses

Primary practice location

531 San Marcos Road
San Dimas, CA 91773-3331

Mailing address

531 San Marcos Road
San Dimas, CA 91773-3331
Phone (706) 340-6131

Other identifiers 1

IdentifierTypeStateIssuer
1669503041OtherINDIVIDUAL NPI ENUMERATOR

Other names 1

  • MAUREEN MCGARTY Ph.D.PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204002647 CA Part B Supplier - Clinic/Group Practice 9234660325 Receives reassigned benefits from 1 practitioner
Practice locations: San Dimas, CA

National Provider Directory

National Provider Directory

Locations

337 S Milledge Ave
Ste 100
Athens, GA 30605
Phone (706) 549-8518

697 S Milledge Ave
Athens, GA 30605
Phone (706) 549-8518

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1053514240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 SAN MARCOS ROAD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733331",
            "telephone_number": "706-340-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 SAN MARCOS ROAD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733331",
            "telephone_number": "706-340-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN MCGARTY PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "MCGARTY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-340-6131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY001230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI ENUMERATOR",
            "identifier": "1669503041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAUREEN MCGARTY Ph.D.PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.