Individual provider Active NPI

Margaret O'Shea Tippy, PSYD

  • Psychologist
  • Mineola, NY
National Provider Identifier
1104946110
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
27044 Issued in CA
Practice address
222 Station PLZ N Ste 250a
Mineola, NY 11501-3893
Phone
(516) 663-2691
NPI assigned
Mar 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 014821 NY
Psychologist 103T00000X 27044 CA Primary

Addresses

Primary practice location

222 Station PLZ N Ste 250a
Mineola, NY 11501-3893

Mailing address

1407 Schaeffer Road
Sebastopol, CA 95472-5542
Phone (707) 237-5209

Other practice location 1

1407 Schaeffer Road
Sebastopol, CA 95472-5542
Phone (707) 237-5209

Other names 1

  • Dr. Margaret O'Shea Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mtippy506442@nyumc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000539 NY Practitioner - Clinical Psychologist 2961448089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

222 Station PLZ N
Suite 350a
Mineola, NY 11501-3814
Phone (516) 663-2691

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
014821NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 6, 2022 Accepting new patients
New York University CurrentSince Oct 6, 2022 Accepting new patients

Locations

222 Station Plz N
Ste 350A
Mineola, NY 11501
Phone (516) 373-9334

222 Station Plz N
Ste 250A
Mineola, NY 11501
Phone (516) 663-2691

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1104946110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 SCHAEFFER ROAD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954725542",
            "telephone_number": "707-237-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 STATION PLZ N STE 250A",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013893",
            "telephone_number": "516-663-2691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 Schaeffer Road",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "954725542",
            "country_code": "US",
            "telephone_number": "707-237-5209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPPY",
        "first_name": "MARGARET",
        "middle_name": "O'SHEA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014821",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "27044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtippy506442@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "222 Station Plz N Ste 250A",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115013893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "O'SHEA",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.