Active NPI
Sean Michael McBride, MD, PH.D.
- Psychiatry Physician
- Stratford, NJ
National Provider Identifier
1629384185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA09885700
- Practice address
- 42 E Laurel Rd
Udp #1800
Stratford, NJ 08084-1354 - Phone
- (856) 566-6843
- Fax
- (856) 566-6419
- NPI assigned
- Aug 23, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD447423 | PA | |
| Psychiatry Physician | 2084P0800X | 25MA09885700 | NJ | Primary |
Addresses
Primary practice location
42 E Laurel Rd
Udp #1800
Stratford, NJ 08084-1354
Mailing address
42 E Laurel Rd
Udp #1800
Stratford, NJ 08084-1354
Phone (856) 566-6843
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 2, 2022 through May 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD447423 | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1629384185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 E LAUREL RD",
"address_2": "UDP #1800",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-6843",
"fax_number": "856-566-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E LAUREL RD",
"address_2": "UDP #1800",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-6843",
"fax_number": "856-566-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"credential": "MD, PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-23",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD447423",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA09885700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.