Active NPI
Patrick K. McGuire, MA, LLP
- Clinical Child & Adolescent Psychologist
- Kalamazoo, MI
National Provider Identifier
1699102707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 6301007051
- Practice address
- 418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334 - Phone
- (269) 553-7155
- Fax
- (269) 553-7129
- NPI assigned
- Oct 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301007051 | MI | Primary |
Addresses
Primary practice location
418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Mailing address
418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Phone (269) 553-7155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3313413 | Medicaid | MI |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007051 | MI | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1699102707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 W KALAMAZOO AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073334",
"telephone_number": "269-553-7155",
"fax_number": "269-553-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 W KALAMAZOO AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073334",
"telephone_number": "269-553-7155",
"fax_number": "269-553-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "PATRICK",
"middle_name": "K.",
"name_prefix": "Mr.",
"credential": "MA, LLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-03",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301007051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38-3313413",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.