Individual provider Active NPI

Maureen Ann McGarty, PH.D.

  • Psychologist
  • San Dimas, CA
National Provider Identifier
1669503041
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34320 Issued in CA
Practice address
531 San Marcos Road
San Dimas, CA 91773-3331
Phone
(706) 340-6131
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 001230 GA
Psychologist 103T00000X 34320 CA Primary

Addresses

Primary practice location

531 San Marcos Road
San Dimas, CA 91773-3331

Mailing address

531 San Marcos Road
San Dimas, CA 91773-3331
Phone (706) 340-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120305000617 GA Practitioner - Clinical Psychologist 4385803733
I20241223002601 CA Practitioner - Clinical Psychologist 4385803733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

San Dimas, CA 91773
Phone (706) 340-6131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001230GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maureen McGarty Psychologist PC Psychologist CurrentSince Jan 1, 2001 Accepting new patients
Jennifer Boone, LCSW LLC Past Accepting new patients

Locations

489 N Milledge Ave
Ste B
Athens, GA 30601
Phone (310) 658-7759

Organizations & group practices 2

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1669503041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 SAN MARCOS ROAD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733331",
            "telephone_number": "706-340-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 SAN MARCOS ROAD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733331",
            "telephone_number": "706-340-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGARTY",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "001230",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "34320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.