Active NPI
Bryan Francis McCarthy I, M.D.
- Psychiatry Physician
- Stockton, CA
National Provider Identifier
1902286180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 170932
- Practice address
- 7707 Austin Rd
Stockton, CA 95215-8312 - Phone
- (209) 467-9205
- NPI assigned
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | CLP03438 | RI | |
| Psychiatry Physician | 2084P0800X | 170932 | CA | Primary |
Addresses
Primary practice location
7707 Austin Rd
Stockton, CA 95215-8312
Mailing address
5101 Santa Monica Blvd
Ste 8 PMB 303
Los Angeles, CA 90029
Phone (631) 335-2353
Other practice location 1
345 Blackstone Blvd
Butler Hospital box G-BH
Providence, RI 02906-4800
Phone (401) 455-6375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 1, 2025 through Dec 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170932 | CA | MD | Psychiatry Physician |
| CLP03438 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amen Clinics, Inc Nyc | Past | Accepting new patients | |
| The Providence Center | Psychiatry | 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.
-
- Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
- New York, NY
- NPI 1659887032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1902286180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 SANTA MONICA BLVD",
"address_2": "STE 8 PMB 303",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90029",
"telephone_number": "631-335-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 AUSTIN RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952158312",
"telephone_number": "209-467-9205"
}
],
"practiceLocations": [
{
"address_1": "345 Blackstone Blvd",
"address_2": "Butler Hospital box G-BH",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064800",
"country_code": "US",
"telephone_number": "401-455-6375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTHY",
"first_name": "BRYAN",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-03",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "CLP03438",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "170932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.