Active NPI
Michael L McGowan III, PSY.D.
- Clinical Psychologist
- Scottsdale, AZ
National Provider Identifier
1245567726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4065
- Practice address
- 15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717 - Phone
- (480) 225-3236
- Fax
- (623) 999-9272
- NPI assigned
- Nov 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 4065 | AZ | Primary |
Addresses
Primary practice location
15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Mailing address
PO Box 17030
Fountain Hills, AZ 85269-7030
Phone (480) 225-3236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100723000274 | AZ | Practitioner - Clinical Psychologist | 6800928060 | Practice locations: Scottsdale, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15333 N Pima Rd
Suite 305
Scottsdale, AZ 85260-2717
Phone (480) 225-3236
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4065 | AZ | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759536000000",
"number": "1245567726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17030",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852697030",
"telephone_number": "480-225-3236",
"fax_number": "623-999-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15333 N PIMA RD STE 305",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602717",
"telephone_number": "480-225-3236",
"fax_number": "623-999-9272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2025-10-04",
"certification_date": "2025-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.