Individual provider Active NPI

Breeda M McGrath, PH.D., NCSP

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1700057957
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.007339 Issued in IL
Practice address
1315 Ave Ashford Apt 804
San Juan, PR 00907-1376
Phone
(847) 778-8681
NPI assigned
Mar 16, 2008
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 071.007339 IL Primary

Addresses

Primary practice location

1315 Ave Ashford Apt 804
San Juan, PR 00907-1376

Mailing address

325 N Wells St
Chicago, IL 60654-7024
Phone (847) 778-8681

Other practice location 1

325 N Wells St
Chicago, IL 60654-7024
Phone (847) 778-8681

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.007339ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1700057957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547024",
            "telephone_number": "847-778-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 AVE ASHFORD APT 804",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071376",
            "telephone_number": "847-778-8681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 N Wells St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606547024",
            "country_code": "US",
            "telephone_number": "847-778-8681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "BREEDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-16",
        "last_updated": "2025-09-11",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.007339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.