Individual provider Active NPI

Sean D McCarthy, MD

  • Psychiatry Physician
  • Waco, TX
National Provider Identifier
1962587089
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H2582 Issued in 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
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X H2582 TX Primary

Addresses

Primary practice location

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

Mailing address

5010 Lakeland Cir Ste B
Waco, TX 76710-2981
Phone (254) 776-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000310 TX Practitioner - Psychiatry 4284548108 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Waco, TX; Glen Rose, TX; Mexia, TX

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

1021 Holden St
Glen Rose, TX 76043-4937
Phone (254) 898-9035

204 W Trinity St
Rettig Fam Health Cre a Limestone Med Cent
Groesbeck, TX 76642-1324
Phone (254) 729-3740

5010 Lakeland Cir
Suite B
Waco, TX 76710-2981
Phone (254) 776-3366

5010 Lakeland Circle
Suite B
Waco, TX 76710-2981

701 McClintic Dr
Groesbeck, TX 76642-2128
Phone 25472932812131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Limestone Hospital District CurrentSince Sep 1, 2022 Accepting new patients
South Limestone Hospital District CurrentSince Sep 1, 2022 Accepting new patients

Locations

204 W Trinity St
Groesbeck, TX 76642
Phone (254) 729-3740

801 McClintic Dr
Groesbeck, TX 76642
Phone (254) 729-3411

206 N Narcissus
#A
Kosse, TX 76653
Phone (254) 375-7001

204 W Trinity St
#A
Lake Limestone, TX 76642
Phone (254) 729-3740

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

200 N Pearl St
Mart, TX 76664
Phone (254) 876-2566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.