Individual provider Active NPI

Laura Jane McGuigan, PSYD

  • Psychologist
  • State College, PA
National Provider Identifier
1699554733
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019996 Issued in PA
Practice address
474 Windmere Dr Ste 301
State College, PA 16801-7651
Phone
(814) 366-5310
Fax
(814) 366-5311
NPI assigned
Sep 27, 2023
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS019996 PA Primary

Addresses

Primary practice location

474 Windmere Dr Ste 301
State College, PA 16801-7651

Mailing address

474 Windmere Dr Ste 301
State College, PA 16801-7651
Phone (814) 366-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231109000245 PA Practitioner - Clinical Psychologist 2567819725 Practice locations: State College, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1699554733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 WINDMERE DR STE 301",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017651",
            "telephone_number": "814-366-5310",
            "fax_number": "814-366-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WINDMERE DR STE 301",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017651",
            "telephone_number": "814-366-5310",
            "fax_number": "814-366-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIGAN",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.