Patrick Macleamy, PSYD

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

PSY22989 Issued in CA

Practice address

755 Baywood Dr FL 2
Petaluma, CA 94954-5510

Phone

(707) 241-3559

Fax

(707) 772-5209

NPI assigned

Sep 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Patrick Macleamy & Associates Psychological Assessment Inc.

  • Intellectual & Developmental Disabilities Psychologist
  • Petaluma, CA
  • NPI 1144974676
  NPD Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1831384718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 BAYWOOD DR FL 2",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545510",
            "telephone_number": "707-241-3559",
            "fax_number": "707-772-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BAYWOOD DR FL 2",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545510",
            "telephone_number": "707-241-3559",
            "fax_number": "707-772-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEAMY",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY22989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PSYCHOLOGY",
            "identifier": "PSY22989",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silvio Machado, PSYCHOLOGIST
• Darlene Machuca Grande
• Valeria Macias
• Elizabeth M Maciel
• Michelle Mack
• Marina Madick
• Joshua Madonick, PT, DPT, CSCS
• Jennifer Lisa Madrid
• John Anthony Madrigal Huerta
• Thyra Nicole Magallanes

• Intellectual & Developmental Disabilities Psychologist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Intellectual & Developmental Disabilities Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.