Individual provider Active NPI

Miguel Dupree McGaughy

  • School Psychologist
  • Jackson, CA
National Provider Identifier
1588534580
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
220085982 Issued in CA
Practice address
217 Rex Ave
Jackson, CA 95642-2020
Phone
(209) 257-5308
Fax
(209) 223-1733
NPI assigned
Nov 6, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 220085982 CA Primary

Addresses

Primary practice location

217 Rex Ave
Jackson, CA 95642-2020

Mailing address

217 Rex Ave
Jackson, CA 95642-2020
Phone (209) 257-5308

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

LicenseStateTypeSpecialty
220085982CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amador County Office of Education CurrentSince Nov 9, 2025 Accepting new patients

Locations

217 Rex Ave
Jackson, CA 95642
Phone (209) 223-1750

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.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1588534580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 REX AVE",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422020",
            "telephone_number": "209-257-5308",
            "fax_number": "209-223-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 REX AVE",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422020",
            "telephone_number": "209-257-5308",
            "fax_number": "209-223-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAUGHY",
        "first_name": "MIGUEL",
        "middle_name": "DUPREE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "220085982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.