Active NPI
Mark C. McGaughey, PH.D.
- Clinical Psychologist
- Clovis, NM
National Provider Identifier
1093775033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 443
- Practice address
- 921 E 21St St
Suite D
Clovis, NM 88101-4443 - Phone
- (505) 762-0212
- Fax
- (505) 762-0660
- NPI assigned
- Mar 24, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 443 | NM | Primary |
Addresses
Primary practice location
921 E 21St St
Suite D
Clovis, NM 88101-4443
Mailing address
921 E 21St St
Suite D
Clovis, NM 88101-4443
Phone (505) 762-0212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39385 | Other | NM | PRESBYTERIAN |
| N0203 | Medicaid | NM | |
| N268 | Other | NM | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 443 | NM | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Higgins Niles Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Clovis Counseling Center
- Clinical Psychologist
- Clovis, NM
- NPI 1043221724
-
- Psychiatry Physician
- Clovis, NM
- NPI 1376615278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093775033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E 21ST ST",
"address_2": "SUITE D",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014443",
"telephone_number": "505-762-0212",
"fax_number": "505-762-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 E 21ST ST",
"address_2": "SUITE D",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014443",
"telephone_number": "505-762-0212",
"fax_number": "505-762-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAUGHEY",
"first_name": "MARK",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "39385",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N0203",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "N268",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.