Individual provider Active NPI

Jessica Marie McQuade, PSYD

  • Clinical Psychologist
  • Stamford, CT
National Provider Identifier
1962012807
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5265 Issued in CT
Practice address
103 W Broad St
Stamford, CT 06902-3713
Phone
(203) 324-6127
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 5265 CT Primary

Addresses

Primary practice location

103 W Broad St
Stamford, CT 06902-3713

Mailing address

103 W Broad St
Stamford, CT 06902-3713

Other names 1

  • Jessica Marie McCarrick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20251222002328 CT Practitioner - Clinical Social Worker 4587159041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 Grand St
Middletown, CT 06457-2705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5265CTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc CurrentSince Dec 16, 2025 Accepting new patients
Community Health Center Inc Clinical CurrentSince Dec 16, 2025 Accepting new patients
Through the Looking Glass PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1962012807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W BROAD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W BROAD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023713",
            "telephone_number": "203-324-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUADE",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "5265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MCCARRICK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.