Individual provider Active NPI

Christine Anne McGrath Wetjen, PH.D.

  • Psychologist
  • Dubuque, IA
National Provider Identifier
1770749269
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001234 Issued in IA
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

Updated by the provider on Jan 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000408 IA Practitioner - Clinical Psychologist 2466624655 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001234IAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Southwest CurrentSince May 18, 2025 Accepting new patients
Medical Associates Clinic P C CurrentSince Sep 26, 2011 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.

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

Verify at the official NPI Registry.