Individual provider Active NPI

Dean Barry McConaghay, M.S.

  • Clinical Psychologist
  • Wyomissing, PA
National Provider Identifier
1689906018
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS006973L Issued in PA
Practice address
1150 Berkshire Boulivard
Suite 250
Wyomissing, PA 19610
Phone
(610) 373-7005
Fax
(610) 373-8005
NPI assigned
Feb 10, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS006973L PA Primary

Addresses

Primary practice location

1150 Berkshire Boulivard
Suite 250
Wyomissing, PA 19610

Mailing address

1150 Berkshire Boulivard
Suite 250
Wyomissing, PA 19610-1150
Phone (610) 373-7005

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 Science

State licenses

LicenseStateTypeSpecialty
PS006973LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Counseling Associates P.C. Clinical PastSince Oct 1, 2004 Accepting new patients

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": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1689906018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BERKSHIRE BOULIVARD",
            "address_2": "SUITE 250",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101150",
            "telephone_number": "610-373-7005",
            "fax_number": "610-373-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BERKSHIRE BOULIVARD",
            "address_2": "SUITE 250",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "610-373-7005",
            "fax_number": "610-373-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONAGHAY",
        "first_name": "DEAN",
        "middle_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006973L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.