Individual provider Active NPI

Maegan Kristyne McGrath, M.ED.

  • Developmental Therapist
  • Chicago, IL
National Provider Identifier
1639431018
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
M263572478592 Issued in MI
Practice address
2013 W 17TH St
Suite 1E
Chicago, IL 60608-1814
Phone
(312) 725-5090
Fax
(312) 268-5388
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X M263572478592 MI Primary

Addresses

Primary practice location

2013 W 17TH St
Suite 1E
Chicago, IL 60608-1814

Mailing address

2013 W 17TH St
Suite 1E
Chicago, IL 60608-1814
Phone (312) 725-5090

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
Master of Education

State licenses

LicenseStateTypeSpecialty
M263572478592MIMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1639431018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 W 17TH ST",
            "address_2": "SUITE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081814",
            "telephone_number": "312-725-5090",
            "fax_number": "312-268-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 W 17TH ST",
            "address_2": "SUITE 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081814",
            "telephone_number": "312-725-5090",
            "fax_number": "312-268-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "MAEGAN",
        "middle_name": "KRISTYNE",
        "name_prefix": "Miss",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "MI",
            "license": "M263572478592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.