Michael Gordon McBride, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY00001195 Issued in WA

Practice address

9732 Old Olympic Hwy
Sequim, WA 98382-3150

Phone

(360) 683-6513

Fax

(360) 683-6619

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Oct 1, 2016 through Oct 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• McBride Psychologcial Services, P.S.

  • Psychologist
  • Sequim, WA
  • NPI 1336365717
  NPD (past) Authorized official
• Katijean Thorpe, MSW, P.S.

  • Clinical Social Worker
  • Sequim, WA
  • NPI 1932565017
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750507117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 OLD OLYMPIC HWY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823150",
            "telephone_number": "360-683-6513",
            "fax_number": "360-683-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 OLD OLYMPIC HWY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823150",
            "telephone_number": "360-683-6513",
            "fax_number": "360-683-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "MICHAEL",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER #",
            "identifier": "9606",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Mathew, M.D., PH.D.
• Lindi Mathews
• Nathon Maxwell, MA, MHP, LMHC
• Cheryl McAliley
• McBride Psychologcial Services, P.S.
• Kyle Caldwell McCartt, PA
• Amanda Claire Beatrice McCree-King, LAICSW
• Tayler McCrorie, LMHC
• David Luke McDonald, DDS
• Shannon McIntire, MS CCC SLP

• Psychologist in Sequim, WA
• Providers in Sequim, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.