Organization Active NPI

Katherine M. McGuire, Psy.D. PLLC

  • Adult Mental Health Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1699100222
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
3605 Issued in CO
Legal business name
KATHERINE M. MCGUIRE, PSY.D. PLLC
Practice address
245 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-3719
Phone
(719) 229-1172
Fax
(719) 344-9179
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Katherine Maria McGuire, PSY.D.NPI 1619241536
Title
Clinical Psychologist
Phone
(719) 229-1172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 3605 CO Primary

Addresses

Primary practice location

245 E Cheyenne Mountain Blvd
Colorado Springs, CO 80906-3719

Mailing address

4197 Douglass Way
Usaf Academy, CO 80840-1099
Phone (719) 229-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131223000047 CO Part B Supplier - Clinic/Group Practice 7012144991 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1699100222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 DOUGLASS WAY",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808401099",
            "telephone_number": "719-229-1172",
            "fax_number": "719-344-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E CHEYENNE MOUNTAIN BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063719",
            "telephone_number": "719-229-1172",
            "fax_number": "719-344-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE M. MCGUIRE, PSY.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "719-229-1172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "3605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.