Organization Active NPI

John G. Cottone, Psychologist, PLLC

  • Clinical Psychologist
  • Stony Brook, NY
National Provider Identifier
1124217195
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017050-1 Issued in NY
Legal business name
JOHN G. COTTONE, PSYCHOLOGIST, PLLC
Practice address
1099 N Country Rd
Suite L
Stony Brook, NY 11790-1924
Phone
(631) 941-2210
Fax
(631) 941-2210
NPI assigned
Oct 16, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. John Gregory Cottone, PH.D.NPI 1396887733
Title
Owner
Phone
(631) 941-2210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 017050-1 NY Primary

Addresses

Primary practice location

1099 N Country Rd
Suite L
Stony Brook, NY 11790-1924

Mailing address

1099 N Country Rd
Suite L
Stony Brook, NY 11790-1924
Phone (631) 941-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071022000521 NY Part B Supplier - Clinic/Group Practice 0547356586 Receives reassigned benefits from 1 practitioner
Practice locations: Stony Brook, NY

National Provider Directory

National Provider Directory

Locations

1099 N Country Rd
Ste L
Stony Brook, NY 11790
Phone (516) 521-7061

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1124217195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 N COUNTRY RD",
            "address_2": "SUITE L",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901924",
            "telephone_number": "631-941-2210",
            "fax_number": "631-941-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 N COUNTRY RD",
            "address_2": "SUITE L",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901924",
            "telephone_number": "631-941-2210",
            "fax_number": "631-941-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G. COTTONE, PSYCHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "COTTONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-941-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017050-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.