Active NPI
Kathleen McGrady, PSY.D.
- Clinical Psychologist
- Greensboro, GA
National Provider Identifier
1427575844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001954
- Practice address
- 1121 Careywood St
Greensboro, GA 30642 - Phone
- (706) 347-4861
- NPI assigned
- Aug 25, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001954 | CT | Primary |
Addresses
Primary practice location
1121 Careywood St
Greensboro, GA 30642
Mailing address
1121 Careywood St
Greensboro, GA 30642-3384
Phone (706) 347-4861
Other practice location 1
39 Grey Fox Landing
Woodstock, CT 06281
Phone (860) 928-1160
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001954 | CT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Leaf Psychology Services | Clinical | Current | Accepting new patients |
Locations
1031 Village Park Dr
Ste 203
Greensboro, GA 30642
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Greensboro, GA
- NPI 1811406069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1427575844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 CAREYWOOD ST",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306423384",
"telephone_number": "706-347-4861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 CAREYWOOD ST",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "30642",
"telephone_number": "706-347-4861"
}
],
"practiceLocations": [
{
"address_1": "39 Grey Fox Landing",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "CT",
"postal_code": "06281",
"country_code": "US",
"telephone_number": "860-928-1160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGRADY",
"first_name": "KATHLEEN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "001954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.