Michael Gugerty, Psy.D. LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MICHAEL GUGERTY, PSY.D. LLC

Practice address

6525 N. Charles St.
Gibson Building Suite 135
Towson, MD 21204

Phone

(443) 991-5938

Fax

(667) 206-2186

NPI assigned

Aug 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michael Gugerty, PSY.D.NPI 1356482244

Title

Clinical Psychologist

Phone

(443) 991-5938

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Gugerty, PSYD

  • Clinical Psychologist
  • Baltimore, MD
  • NPI 1356482244
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1831747054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 N. CHARLES ST.",
            "address_2": "GIBSON BUILDING SUITE 135",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-991-5938",
            "fax_number": "667-206-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 N. CHARLES ST.",
            "address_2": "GIBSON BUILDING SUITE 135",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-991-5938",
            "fax_number": "667-206-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GUGERTY, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "GUGERTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "443-991-5938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra May Meyer, DC
• Hafsa Mian, MD
• Angela Maria Miceli
• Michael Boino Psychotherapy, LLC
• Michael D. Cohen, M.D., P.a.
• Michael O. Magan MD PA
• Michael T. Reid, PH.D. LLC
• Emily Michaelis, LAT, ATC
• James Michaels, MPT
• Katlyn Michaels, LCSW-C

• Clinical Psychologist in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.