Active NPI
Michael Patrick Maguire, PSY.D.
- Psychologist
- Seattle, WA
National Provider Identifier
1396095196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY60145769
- Practice address
- 1127 10TH Ave E Ste 6
Seattle, WA 98102-4377 - Phone
- (206) 395-8825
- NPI assigned
- Sep 19, 2012
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY60145769 | WA | Primary |
Addresses
Primary practice location
1127 10TH Ave E Ste 6
Seattle, WA 98102-4377
Mailing address
552 N 70TH St
Seattle, WA 98103-5123
Phone (206) 395-8825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 19, 2025 through Nov 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60145769 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1396095196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 N 70TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981035123",
"telephone_number": "206-395-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 10TH AVE E STE 6",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981024377",
"telephone_number": "206-395-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGUIRE",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY60145769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.