DR. MARK C. MCGAUGHEY (NPI# 1093775033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093775033 |
| Entity Type | Individual |
| Full Name | DR. MARK C. MCGAUGHEY |
| Credential | PH.D. |
| Practice Address |
921 E 21st St Suite D Clovis NM 88101-4443 |
| Practice Telephone | 5057620212 |
| Practice Fax Number | 5057620660 |
| Mailing Telephone | 5057620212 |
| Mailing Fax Number | 5057620660 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
443 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PRESBYTERIAN | 39385 | 01 |
| NM | N0203 | 05 | |
| NM | BLUE CROSS/BLUE SHIELD | N268 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083696744 | Mark D Mcgaughey | Internal Medicine | 5880 University Ave Ste. 102, West Des Moines, IA 50266 | 2005-11-17 |
| Street Address |
921 E 21ST ST SUITE D |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851579361 | Janice H Davis | Counselor | 921 E 21st St, Clovis, NM 88101-4443 | 2008-02-06 |
| 1356529853 | Yolanda Fajardo-vela | Counselor | 921 E 21st St, Clovis, NM 88101-4443 | 2008-02-06 |
| 1780883264 | Eric M. Banagay | Counselor | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2007-07-13 |
| 1376615278 | Karen Higgins Niles Inc | Psychiatry & Neurology | 921 E 21st St, Ste D, Clovis, NM 88101 | 2006-11-15 |
| 1922181015 | Judy L. Mitchell | Counselor | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-10-23 |
| 1346341559 | Rosalie A Richards | Counselor | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-09-26 |
| 1376651836 | Cheryl A. Cash | Counselor | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-08-26 |
| 1043221724 | Consulting Psychological Services, Pa | Psychologist | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-08-10 |
| 1487665147 | Miriam Ellie Dlouhy | Counselor | 921 E 21st St, Suite D, Clovis, NM 88101-4443 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1093154163 | Stanley Frederick Littleworth | Psychologist | 4785 N Pinebury Way, Clovis, CA 93619-4626 | 2013-06-21 |
| 1275971665 | Kenneth John Carr | Psychologist | 641 N Fowler Ave, Apt #255, Clovis, CA 93611-6610 | 2013-06-07 |
| 1831452564 | Cara Jean Emes | Psychologist | 613 Harvard Ave, Suite 202, Clovis, CA 93612-1866 | 2012-06-18 |
| 1366672313 | Matthew Thomas Tatum | Psychologist | 2343 Deauville Cir, Clovis, CA 93619-4292 | 2009-07-23 |
| 1053561472 | Paula Jean Willis | Psychologist | 1920 N Burl Ave, Clovis, CA 93619-2865 | 2008-09-22 |
| 1851441810 | Larry Samuel Moricca | Psychologist | 642 Pollasky Ave, #210, Clovis, CA 93612-1875 | 2007-01-11 |
| 1851451603 | Patricia Prater | Psychologist | 3128 Willow Ave Ste 102, Clovis, CA 93612-4746 | 2006-12-11 |
| 1245327626 | Alexia Baca Morgan | Psychologist | 106 Pollasky, A, Clovis, CA 93612 | 2006-10-06 |
| 1235225764 | Alexa Hilary Wasserman-toncheff | Psychologist | 3128 Willow, Suite 102, Clovis, CA 93612 | 2006-10-04 |
| Find all providers in CLOVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.