Active NPI
Gary Robin McGuffin, PSYCHOLOGIST
- Clinical Psychologist
- Vancouver, WA
National Provider Identifier
1366620239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1861
- Practice address
- 10800 SE 17TH Circle
Vancouver, WA 98664-6219 - Phone
- (360) 892-7900
- Fax
- (360) 892-7900
- NPI assigned
- Feb 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1861 | WA | Primary |
| Clinical Psychologist | 103TC0700X | 1137 | OR |
Addresses
Primary practice location
10800 SE 17TH Circle
Vancouver, WA 98664-6219
Mailing address
PO Box 871542
Vancouver, WA 98687-1542
Phone (360) 892-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1137 | OR | MD | Clinical Psychologist |
| 1861 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1366620239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 871542",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986871542",
"telephone_number": "360-892-7900",
"fax_number": "360-892-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 SE 17TH CIRCLE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986646219",
"telephone_number": "360-892-7900",
"fax_number": "360-892-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUFFIN",
"first_name": "GARY",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "1861",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1137",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.