Sean D McCarthy, MD

Key facts

NPI

1962587089

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

H2582 (TX)

Practice address

5010 Lakeland Circle Ste B
5010 Lakeland Circle, Ste B
Waco, TX 76710-2981

Phone

(254) 776-3366

Fax

(254) 776-8466

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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.

• South Limestone Hospital District Critical Access Hospital · Groesbeck, TX · NPI 1861487779
  Medicare reassignment NPD TX
• South Limestone Hospital District Skilled Nursing Facility · West, TX · NPI 1780633396
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Limestone Hospital District Critical Access Hospital · Groesbeck, TX · NPI 1861487779
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Psychiatry

Education

University of Texas Southwestern Medical School at Dallas, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Limestone Hospital District (19 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Limestone Medical Center Hospital · Groesbeck, TX · CCN 451303

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 15, 2021.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1962587089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 LAKELAND CIR STE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102981",
            "telephone_number": "254-776-3366",
            "fax_number": "254-776-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 LAKELAND CIRCLE STE B",
            "address_2": "5010 LAKELAND CIRCLE, STE B",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102981",
            "telephone_number": "254-776-3366",
            "fax_number": "254-776-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "SEAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H2582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114590602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168831902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

• Mark A McCall, DDS
• Ronald Dale McCall, D.D.S.,P.A.
• Stephen McCall, MD
• Kaitlyn McCarthy
• Ronda Brewer McCarthy, M.D.
• Brian D McCarty, PHARMD
• Edna Nayeli McCarty
• Kelly McCarver, FNP
• Shelley Denice McCarver, NP
• Melissa E McClain, LCSW

All providers in Waco, TX · Psychiatry Physician in Texas