Provider Demographics
NPI:1831278910
Name:MCCARTY, JOSEPH CHARLES JR (PHD, NCSP)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CHARLES
Last Name:MCCARTY
Suffix:JR
Gender:M
Credentials:PHD, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4623
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-0825
Mailing Address - Country:US
Mailing Address - Phone:509-412-2588
Mailing Address - Fax:888-307-2105
Practice Address - Street 1:288 W 9TH ST
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5949
Practice Address - Country:US
Practice Address - Phone:509-412-2588
Practice Address - Fax:888-307-2105
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26796103T00000X
WA60934231103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist