Individual provider Active NPI

Tara Marie McGarry, PSYD

  • Psychologist
  • Canby, OR
National Provider Identifier
1184975260
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2917 Issued in OR
Practice address
1433 SE 1St Ave
Canby, OR 97013
Phone
(503) 525-7600
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X MC60184343 WA
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2917 OR Primary

Addresses

Primary practice location

1433 SE 1St Ave
Canby, OR 97013

Mailing address

19750 Derby St
West Linn, OR 97068-2272
Phone (503) 459-1978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190110003432 OR Practitioner - Clinical Psychologist 3971856543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

Practice addresses (Care Compare)

250 W Marquam St
Mount Angel, OR 97362-9520
Phone (503) 845-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2917ORMDPsychologist
MC60184343WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Multi-Specialty Current Accepting new patients
Silverton Health Multi-Specialty CurrentSince Apr 1, 2019 Accepting new patients
Legacy Meridian Park Hospital Multi-Specialty CurrentSince Oct 1, 2018 Accepting new patients
Silverton Health CurrentSince Apr 1, 2019 Accepting new patients
Legacy Meridian Park Hospital Multi-Specialty CurrentSince Oct 1, 2018 Accepting new patients

Locations

1433 SE 1st Ave
Canby, OR 97013
Phone (503) 525-7600

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1184975260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19750 DERBY ST",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682272",
            "telephone_number": "503-459-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 SE 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "97013",
            "telephone_number": "503-525-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARRY",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "MC60184343",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

Verify at the official NPI Registry.