Active NPI
Mariah Lynn Powell
- Psychologist
- Westbury, NY
National Provider Identifier
1104664523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156 - Phone
- (516) 806-6969
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156
Mailing address
168 E 23Rd St
Huntington Station, NY 11746-3232
Phone (631) 252-5187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidz Psychological Services PLLC | Current | Accepting new patients | |
| Family of Kidz | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Garden City, NY
- NPI 1487326716
-
- Specialist
- Westbury, NY
- NPI 1760313282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1104664523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 E 23RD ST",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117463232",
"telephone_number": "631-252-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 OLD COUNTRY RD STE C103N",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905156",
"telephone_number": "516-806-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "MARIAH",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.