Active NPI
Michael James McGrath, PH.D.
- Clinical Neuropsychologist
- Sioux Falls, SD
National Provider Identifier
1508879867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 211
- Practice address
- 3701 W 49TH St
Suite 203
Sioux Falls, SD 57106-4241 - Phone
- (605) 351-5987
- Fax
- (605) 271-4495
- NPI assigned
- Aug 15, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 211 | SD | Primary |
| Clinical Psychologist | 103TC0700X | 211 | SD | |
| Forensic Psychologist | 103TF0200X | 211 | SD | |
| Psychologist | 103T00000X | 211 | SD |
Addresses
Primary practice location
3701 W 49TH St
Suite 203
Sioux Falls, SD 57106-4241
Mailing address
PO Box 88834
Sioux Falls, SD 57109-8834
Phone (605) 351-5987
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22279 | Other | SD | PSYCHOLOGIST/SIOUX VALLEY |
| 4999824 | Other | SD | PSYCHOLOGIST/BLUE CROSS/B |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211 | SD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1508879867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88834",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571098834",
"telephone_number": "605-351-5987",
"fax_number": "605-271-4495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 W 49TH ST",
"address_2": "SUITE 203",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571064241",
"telephone_number": "605-351-5987",
"fax_number": "605-271-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "SD",
"license": "211",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SD",
"license": "211",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "SD",
"license": "211",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SD",
"license": "211",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST/SIOUX VALLEY",
"identifier": "22279",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST/BLUE CROSS/B",
"identifier": "4999824",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.