Mary A. McGonigle, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY1922 Issued in WA

Practice address

2366 Eastlake Ave E Ste 439
Seattle, WA 98102-3392

Phone

(206) 323-7742

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1326162777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E STE 439",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023392",
            "telephone_number": "206-323-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 EASTLAKE AVE E STE 439",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981023392",
            "telephone_number": "206-323-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGONIGLE",
        "first_name": "MARY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY1922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "20-4956959",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST-STATE OF WA",
            "identifier": "PY1922",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Marie McGlennen, ARNP, DNP
• Annaliisa McGlinn, MD
• Suzanne Margaret McGoldrick, M.D.
• Cynthia McGonegle
• Shawnda McGonigal
• Michaela McGonigle, DNP
• Michael C McGoodwin, M.D.
• Dvorah McGorski
• Ellen L. McGough, PT
• Mary Elizabeth McGough

• Clinical Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.