Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

AGAVE MEDICAL NY, P.C
NPI 1780403501
Psychologist in Madera, CA

Active since October 08, 2024
16397 ROAD 37, MADERA, CA 93636(510) 871-5025 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Jul 22, 2026, Mar 13, 2025 and 1 more (4 updates tracked since 2024).

About Agave Medical Ny, P.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAVE MEDICAL NY, P.C (NPI 1780403501) is a healthcare organization registered as a psychologist in Madera, California and active in the NPI registry since October 2024. The organization lists Michael Scahill, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780403501
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameAGAVE MEDICAL NY, P.C
Location Address16397 ROAD 37Madera, CA 93636-8224
Mailing Address359 5th St Unit 3Jersey City, NJ 07302-2329 · (551) 302-1794
Organization SubpartNo
Authorized OfficialMichael ScahillCeo · (929) 209-6109
Enumeration DateOctober 8, 2024
Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1780403501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · HealthTaxonomy 103TH0004X
Also ListedSocial WorkerTaxonomy 104100000X
16397 ROAD 37, Madera, CA 93636

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
16397 ROAD 37
MADERA, CA 93636
Psychologist
16397 ROAD 37
MADERA, CA 93636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agave Medical Ny, P.C's NPI number?

The NPI number for Agave Medical Ny, P.C is 1780403501. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Agave Medical Ny, P.C located?

Agave Medical Ny, P.C is located at 16397 Road 37, Madera, CA 93636. The listed phone number is (510) 871-5025.

What is Agave Medical Ny, P.C's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Agave Medical Ny, P.C was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.