Individual provider Active NPI

Cynthia N. Maguire, PSYD

  • Clinical Psychologist
  • Watertown, NY
National Provider Identifier
1194744730
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015958 Issued in NY
Practice address
531 Washington St
Suite 2501
Watertown, NY 13601
Phone
(315) 882-7274
Fax
(315) 601-9988
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015958 NY Primary

Addresses

Primary practice location

531 Washington St
Suite 2501
Watertown, NY 13601

Mailing address

531 Washington St
Suite 2501
Watertown, NY 13601
Phone (315) 882-7274

Other names 1

  • Cynthia N. Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110912000040 NY Practitioner - Clinical Psychologist 0446295398 Practice locations: Watertown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Watertown, NY 13601
Phone (315) 882-7274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015958NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Physical & Occupational Therapy, LLC Past Accepting new patients
Country Counseling PastSince Oct 4, 2021 Accepting new patients
Wallowa Valley Center for Wellness PastSince Aug 10, 2024 Accepting new patients
Cynthia Maguire, PSYD Clinical Past Accepting new patients
Exodus Recovery Services LLC. PastSince Apr 26, 2020 Accepting new patients

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1194744730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 WASHINGTON ST",
            "address_2": "SUITE 2501",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-882-7274",
            "fax_number": "315-601-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WASHINGTON ST",
            "address_2": "SUITE 2501",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-882-7274",
            "fax_number": "315-601-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "CYNTHIA",
        "middle_name": "N.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "WILSON",
            "middle_name": "N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.