Organization Active NPI

McBride Psychologcial Services, P.S.

  • Psychologist
  • Sequim, WA
National Provider Identifier
1336365717
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00001195 Issued in WA
Legal business name
MCBRIDE PSYCHOLOGCIAL SERVICES, P.S.
Practice address
9732 Old Olympic Hwy
Sequim, WA 98382-3150
Phone
(360) 683-6513
Fax
(360) 683-6619
NPI assigned
Apr 17, 2007
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Dr. Michael Gordon McBride, PH.D.NPI 1750507117
Title
Owner
Phone
(360) 683-6513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00001195 WA Primary

Addresses

Primary practice location

9732 Old Olympic Hwy
Sequim, WA 98382-3150

Mailing address

9732 Old Olympic Hwy
Sequim, WA 98382-3150
Phone (360) 683-6513

National Provider Directory

National Provider Directory

Locations

9732 Old Olympic Hwy
Sequim, WA 98382
Phone (360) 477-3939

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1336365717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 OLD OLYMPIC HWY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823150",
            "telephone_number": "360-683-6513",
            "fax_number": "360-683-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 OLD OLYMPIC HWY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823150",
            "telephone_number": "360-683-6513",
            "fax_number": "360-683-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBRIDE PSYCHOLOGCIAL SERVICES, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-683-6513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.