Individual provider Active NPI

Catherine Ann McGrogan, PHD

  • Psychologist
  • Elizabeth City, NC
National Provider Identifier
1265427470
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
HSPP0956 Issued in NC
Practice address
301 E Church St
Elizabeth City, NC 27909-4805
Phone
(252) 338-8821
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X HSPP0956 NC Primary

Addresses

Primary practice location

301 E Church St
Elizabeth City, NC 27909-4805

Mailing address

PO Box 303
Elizabeth City, NC 27907-0303
Phone (252) 338-8821

Other identifiers 3

IdentifierTypeStateIssuer
6000147MedicaidNC
04098OtherNCBCBS
94483OtherNCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041129000424 NC Practitioner - Clinical Psychologist 9234194036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albemarle Psychological ServicesGroup PAC ID 7618932419, 2 clinicians

Practice addresses (Care Compare)

301 E Church St
Elizabeth City, NC 27909-4805
Phone (252) 338-8821

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HSPP0956NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Psychological Services Psychologist CurrentSince Nov 30, 2011 Accepting new patients

Locations

301 E Church St
Elizabeth Cty, NC 27909
Phone (252) 338-8821

Organizations & group practices 1

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1265427470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279070303",
            "telephone_number": "252-338-8821",
            "fax_number": "252-338-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CHURCH ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094805",
            "telephone_number": "252-338-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGROGAN",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "HSPP0956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000147",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04098",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "94483",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.