Individual provider Active NPI

Michael David McGady Jr., PSY. D.

  • Clinical Psychologist
  • Glendale, AZ
National Provider Identifier
1902251002
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4728 Issued in AZ
Practice address
4425 W Olive Ave Ste 151a
Glendale, AZ 85302-3843
Phone
(602) 456-4817
Fax
(480) 247-4318
NPI assigned
Apr 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 4728 AZ Primary

Addresses

Primary practice location

4425 W Olive Ave Ste 151a
Glendale, AZ 85302-3843

Mailing address

2428 E Apache Blvd
Tempe, AZ 85281-4935
Phone (602) 402-0971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180223001211 AZ Practitioner - Clinical Psychologist 9638430291 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4728AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
McGady & Associates Psychological Services PLC CurrentSince Dec 1, 2019 Accepting new patients
McGady & Associates Psychological Services PLC Clinical CurrentSince Nov 22, 2017 Accepting new patients

Locations

4323 W Olive Ave
Ste 105
Glendale, AZ 85302

4425 W Olive Ave
Ste 151A
Glendale, AZ 85302
Phone (602) 456-4817

4425 W Olive Ave
Ste 151
Glendale, AZ 85302
Phone (602) 456-4817

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1902251002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 E APACHE BLVD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852814935",
            "telephone_number": "602-402-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W OLIVE AVE STE 151A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023843",
            "telephone_number": "602-456-4817",
            "fax_number": "480-247-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGADY",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.