Individual provider Active NPI

Mary Grace Madrigal, PHD

  • Mental Health Counselor
  • Huntington Beach, CA
National Provider Identifier
1740298819
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
18811 Huntington St Ste 200
Huntington Beach, CA 92648-6003
Phone
(714) 504-8840
NPI assigned
Aug 4, 2006
Last updated
Mar 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Psychologist 103TC0700X PSY24917 CA

Addresses

Primary practice location

18811 Huntington St Ste 200
Huntington Beach, CA 92648-6003

Mailing address

PO Box 5113
Garden Grove, CA 92846-0113
Phone (714) 504-8840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120510000297 CA Practitioner - Clinical Psychologist 0648432591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18811 Huntington St
Suite 200
Huntington Beach, CA 92648-6003
Phone (714) 504-8840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Madrigal Psychological Services Current Accepting new patients
Embrace Psychological and Counseling Services Mental Health CurrentSince Nov 7, 2022 Accepting new patients
Embrace Counseling and Resource Center, Inc Clinical Past Accepting new patients

Locations

18811 Huntington St
Ste 200
Huntington Beach, CA 92648
Phone (714) 504-8840

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1740298819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5113",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928460113",
            "telephone_number": "714-504-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON ST STE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486003",
            "telephone_number": "714-504-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.