Individual provider Active NPI

Vincent John Maginn, PHD

  • Clinical Psychologist
  • Chapel Hill, NC
National Provider Identifier
1427081579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0536 Issued in NC
Practice address
100 Europa Drive
Suite 341
Chapel Hill, NC 27517-2389
Phone
(919) 929-0456
Fax
(919) 929-3070
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0536 NC Primary

Addresses

Primary practice location

100 Europa Drive
Suite 341
Chapel Hill, NC 27517-2389

Mailing address

100 Europa Drive
Suite 341
Chapel Hill, NC 27517-2389
Phone (919) 929-0456

Other identifiers 1

IdentifierTypeStateIssuer
6000030MedicaidNC

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0536NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427081579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EUROPA DRIVE",
            "address_2": "SUITE 341",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172389",
            "telephone_number": "919-929-0456",
            "fax_number": "919-929-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EUROPA DRIVE",
            "address_2": "SUITE 341",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172389",
            "telephone_number": "919-929-0456",
            "fax_number": "919-929-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGINN",
        "first_name": "VINCENT",
        "middle_name": "JOHN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "0536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000030",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.