Individual provider Active NPI

Martin A Magy, PHD

  • Clinical Psychologist
  • Vista, CA
National Provider Identifier
1871690594
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY6728 Issued in CA
Practice address
380 S Melrose Dr Ste 210
Vista, CA 92081-6652
Phone
(760) 941-6062
Fax
(760) 726-3509
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY6728 CA
Clinical Psychologist 103TC0700X PSY6728 CA Primary

Addresses

Primary practice location

380 S Melrose Dr Ste 210
Vista, CA 92081-6652

Mailing address

380 S Melrose Dr Ste 210
Vista, CA 92081-6652
Phone (760) 941-6062

Other names 1

  • Martin Alan Magy Other name

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
I20090427000269 CA Practitioner - Clinical Psychologist 1254489529 Practice locations: Vista, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

380 S Melrose Dr
Suite 210
Vista, CA 92081-6652
Phone (760) 941-6062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY6728CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Young, M.D., a.P.C. Past Accepting new patients
Elise a. Reed DO a Professional Corporation Past Accepting new patients

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1871690594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 210",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816652",
            "telephone_number": "760-941-6062",
            "fax_number": "760-726-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 210",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816652",
            "telephone_number": "760-941-6062",
            "fax_number": "760-726-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGY",
        "first_name": "MARTIN",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY6728",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTIN",
            "last_name": "MAGY",
            "middle_name": "ALAN",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.