Provider Demographics
NPI:1932199569
Name:MCCARTHY, PATRICK C (PHD, LICSW)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:C
Last Name:MCCARTHY
Suffix:
Gender:M
Credentials:PHD, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:19 COUNTY ROAD
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-0071
Mailing Address - Country:US
Mailing Address - Phone:508-758-3754
Mailing Address - Fax:508-758-3755
Practice Address - Street 1:19 COUNTY RD
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1584
Practice Address - Country:US
Practice Address - Phone:508-758-3754
Practice Address - Fax:508-758-3755
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1032591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1851331Medicaid
017882OtherVALUEOPTIONS
063493000OtherMAGELLAN BEHAVIORAL HEALT
1041394OtherCIGNA BEHAVIORAL HEALTH
126506OtherCOMPSYCH
RI406307OtherBLUE CHIP BCBS RI
757524OtherTUFTS HEALTH CARE
095058OtherMANAGED HEALTH NETWORK
1P086418OtherHUMAN AFFAIRS INT'L
RI3851-7OtherBCBS RI
5681738OtherAETNA BEHAVIORAL HEALTH
286320OtherPRIVATE HEALTHCARE SYS
6253793OtherUNITED BEHAVIORAL HEALTH
RIPM35876Medicaid
S017173OtherCHAMPUS
MA1891898OtherMASS BEHAVIORAL HEALTH PA
MA25576OtherMBC HEALTHNET
MAP01380OtherBCBS MA
5681738OtherAETNA BEHAVIORAL HEALTH