Individual provider Active NPI

Patricia McGuire, PSYD

  • Intellectual & Developmental Disabilities Psychologist
  • Phoenix, AZ
National Provider Identifier
1700339835
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
PSY-005758 Issued in AZ
Practice address
4802 E Ray Rd Ste 23-151
Phoenix, AZ 85044
Phone
(707) 341-2822
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X PSY-005758 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY-005758 AZ Primary

Addresses

Primary practice location

4802 E Ray Rd Ste 23-151
Phoenix, AZ 85044

Mailing address

4802 E Ray Rd Ste 23-151
Phoenix, AZ 85044-6405
Phone (707) 341-2822

Other practice location 1

2448 E 81st St Ste 3700
Tulsa, OK 74137-4257
Phone (918) 236-4000

Other practice location 2

1501 Fruitvale Ave
Oakland, CA 94601-2322
Phone (510) 535-6200

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

State licenses

LicenseStateTypeSpecialty
PSY-005758AZMDIntellectual & Developmental Disabilities Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duck Pond Psychology LLC Health Service CurrentSince Nov 9, 2025 Accepting new patients

Locations

4802 E Ray Rd
Ste 23151
Phoenix, AZ 85044
Phone (480) 256-2197

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1700339835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 E RAY RD STE 23-151",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446405",
            "telephone_number": "707-341-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 E RAY RD STE 23-151",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "707-341-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2448 E 81st St Ste 3700",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374257",
            "country_code": "US",
            "telephone_number": "918-236-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Fruitvale Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012322",
            "country_code": "US",
            "telephone_number": "510-535-6200",
            "fax_number": "510-535-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "PATRICIA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "AZ",
            "license": "PSY-005758",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "AZ",
            "license": "PSY-005758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.