Individual provider Active NPI

Thomas Matthew McDonagh

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1770894032
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25741 Issued in CA
Practice address
870 Market St Ste 617
San Francisco, CA 94102-3014
Phone
(415) 483-0950
NPI assigned
Jul 1, 2010
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 PSY25741 CA Primary

Addresses

Primary practice location

870 Market St Ste 617
San Francisco, CA 94102-3014

Mailing address

870 Market St Ste 617
San Francisco, CA 94102-3014
Phone (415) 483-0950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411003292 CA Practitioner - Clinical Psychologist 4688973928 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

870 Market St
Suite 617
San Francisco, CA 94102-3014
Phone (415) 483-0950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY25741CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas McDonagh Mental Health CurrentSince Nov 1, 2022 Accepting new patients
Pacific Coast Psychiatric Associates Inc Clinical PastSince Aug 1, 2020 Accepting new patients
Vanderbilt University Medical Center Mental Health Past Accepting new patients

Locations

870 Market St
Ste 617
San Francisco, CA 94102
Phone (415) 483-0950

870 Market St
Ste 619
San Francisco, CA 94102
Phone (415) 483-0950

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1770894032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 617",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023014",
            "telephone_number": "415-483-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 617",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023014",
            "telephone_number": "415-483-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONAGH",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.