Active NPI
Christine Anne McGrath Wetjen, PH.D.
- Psychologist
- Dubuque, IA
National Provider Identifier
1770749269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 001234
- Practice address
- 200 Mercy Dr
Suite 201
Dubuque, IA 52001-7303 - Phone
- (563) 584-3500
- Fax
- (563) 584-3520
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 001234 | IA | Primary |
Addresses
Primary practice location
200 Mercy Dr
Suite 201
Dubuque, IA 52001-7303
Mailing address
200 Mercy Dr
Suite 201
Dubuque, IA 52001-7303
Phone (563) 584-3500
Other names 1
- Christine Ann McGrath
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001234 | IA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Southwest | Current | Accepting new patients | |
| Medical Associates Clinic P C | Current | Accepting new patients |
Locations
200 Mercy Dr
Ste 201
Dubuque, IA 52001
Phone (563) 584-3500
1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100
6689 Boulder Brook Ct
Ste 4
Dubuque, IA 52003
Phone (563) 500-9446
1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455
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.
-
- Multi-Specialty Clinic/Center
- Dubuque, IA
- NPI 1457300790
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dubuque, IA
- NPI 1205627049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515974400000",
"number": "1770749269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY DR",
"address_2": "SUITE 201",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017303",
"telephone_number": "563-584-3500",
"fax_number": "563-584-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY DR",
"address_2": "SUITE 201",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017303",
"telephone_number": "563-584-3500",
"fax_number": "563-584-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRATH WETJEN",
"first_name": "CHRISTINE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2018-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "001234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "MCGRATH",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.