Rene J McGovern, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

R0475 Issued in MO

Practice address

7301 E 3Rd Ave
Unit 405
Scottsdale, AZ 85251-4451

Phone

(660) 341-5030

Fax

(480) 773-6063

NPI assigned

Aug 10, 2005

Last updated

Mar 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psi Behavioral Health LLC

  • Health Psychologist
  • Scottsdale, AZ
  • NPI 1588808745
  NPD (past) Authorized official

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1093717084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 3RD AVE",
            "address_2": "UNIT 405",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514451",
            "telephone_number": "660-341-5030",
            "fax_number": "480-773-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 3RD AVE",
            "address_2": "UNIT 405",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514451",
            "telephone_number": "660-341-5030",
            "fax_number": "480-773-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "RENE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "R0475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499779817",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen McGinnis, NP
• Kristina McGinnis
• Nyasha McGinnis, NP
• Mary Anastasia McGlasson, ARNP
• Aidan McGlothan
• Sean McGovern, NMD
• Michael L McGowan III, PSY.D.
• Erin McGranahan, SLP
• Brian McGrath, MB BCH BAO
• Jamie McGrath, LAC

• Clinical Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.