Individual provider Active NPI

Marycate McDonough, BCBA

  • Behavior Analyst
  • West Chester, PA
National Provider Identifier
1770724197
Registry record updated Mar 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-03-1364 Issued in PA
Practice address
489 Gregory LN
West Chester, PA 19380-1919
Phone
(610) 696-1565
Fax
(267) 200-0060
NPI assigned
Mar 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-03-1364 PA Primary

Addresses

Primary practice location

489 Gregory LN
West Chester, PA 19380-1919

Mailing address

489 Gregory LN
West Chester, PA 19380-1919
Phone (610) 696-1565

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gamut Behavioral Services Behavior Analyst Past Accepting new patients
Gamut Behavioral Services Past Accepting new patients

Organizations & group practices 2

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": "1236988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236988800000",
    "number": "1770724197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 GREGORY LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801919",
            "telephone_number": "610-696-1565",
            "fax_number": "267-200-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 GREGORY LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801919",
            "telephone_number": "610-696-1565",
            "fax_number": "267-200-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "MARYCATE",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-03-1364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.