Mcdonagh, John Michael
Mcdonagh, John Michael is an sole proprietor health care provider with primary practice located at 2 Carnegie Avenue , Cold Spring Harbor NY 11724-2000. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Mcdonagh, John Michael can be contacted via phone (631) 427-6902.Contact Information
Primary practice address
2 Carnegie Avenue
Cold Spring Harbor NY 11724-2000
Phone: (631) 427-6902
Fax: (631) 427-6902
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 0047851 | New York |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0047851 | New York |
Profile Details
NPI number | 1619015021 |
---|---|
LBN Legal business name | Mcdonagh, John Michael |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 1st, 2007 |
Last updated | Aug 12th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619015021 | NPPES |
Other | 5838 | AMER BOARD PROF PSYCHOLOG | |
MEDICAID | 00625269 | AMER BOARD PROF PSYCHOLOG |
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