Individual provider Active NPI

Kristin LH McGue, PH.D.

  • Clinical Psychologist
  • Millburn, NJ
National Provider Identifier
1750761490
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05513 Issued in MD
Practice address
90 Millburn Ave Ste 102
Millburn, NJ 07041-1933
Phone
(973) 378-5255
Fax
(973) 378-5590
NPI assigned
Jun 8, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 05513 MD Primary

Addresses

Primary practice location

90 Millburn Ave Ste 102
Millburn, NJ 07041-1933

Mailing address

90 Millburn Ave Ste 102
Millburn, NJ 07041-1933
Phone (973) 378-5255

Other practice location 1

707 N Broadway
Baltimore, MD 21205-1832
Phone (443) 923-1872

Other practice location 2

707 N Broadway
Baltimore, MD 21205-1832
Phone (443) 923-1872

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
05513MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750761490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE STE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411933",
            "telephone_number": "973-378-5255",
            "fax_number": "973-378-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MILLBURN AVE STE 102",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411933",
            "telephone_number": "973-378-5255",
            "fax_number": "973-378-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051832",
            "country_code": "US",
            "telephone_number": "443-923-1872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051832",
            "country_code": "US",
            "telephone_number": "443-923-1872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUE",
        "first_name": "KRISTIN",
        "middle_name": "LH",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.