DR. PATRICK TIMOTHY MCGONIGAL PH.D.
NPI 1992672497
Psychologist - Clinical in Patton, CA

Q: What is Patrick Mcgonigal's NPI number?

The NPI number for Patrick Mcgonigal is 1992672497. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Q: What is Patrick Mcgonigal's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Mcgonigal was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since October 20, 2025PECOS Enrolled

3102 E HIGHLAND AVE, PATTON, CA 92369(909) 425-7000 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Patrick Timothy Mcgonigal Ph.d. NPPES

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

DR. PATRICK TIMOTHY MCGONIGAL PH.D. (NPI 1992672497) is an individual clinical provider in Patton, California, licensed in California (36226) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992672497

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PATRICK TIMOTHY MCGONIGALCredential: PH.D.

Location Address3102 E HIGHLAND AVEPatton, CA 92369-7813

Mailing Address9600 19th St Apt 92Rancho Cucamonga, CA 91737-8902

Phone(909) 425-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1992672497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 36226

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3102 E HIGHLAND AVE, Patton, CA 92369

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick Timothy Mcgonigal Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567954654

PECOS Enrollment IDI20251125004053

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Patrick Mcgonigal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of State Hospitals

51 mi

Psychiatric Hospital

11401 BLOOMFIELD AVE
Norwalk, CA 90650

Reassigned Medicare billing, California enrollment
755 clinicians in this Medicare group

NPI 1265406565 (562) 863-7011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$179.42 typical visit price

range $59.60 – $179.42

Typical copayment $44.85 (range $14.90 – $44.85)

Most-billed visit code 99205

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MICHAEL DALE DEWIT LCSW

Social Worker (Clinical)