Provider Demographics
NPI:1902251002
Name:MCGADY, MICHAEL DAVID JR (PSY D)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:MCGADY
Suffix:JR
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2428 E APACHE BLVD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-4935
Mailing Address - Country:US
Mailing Address - Phone:602-402-0971
Mailing Address - Fax:
Practice Address - Street 1:4425 W OLIVE AVE STE 151A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-3843
Practice Address - Country:US
Practice Address - Phone:602-456-4817
Practice Address - Fax:480-247-4318
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4728103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical