Individual provider Active NPI

Erin Marie McDonough, PH.D.

  • Psychologist
  • Garden City, NY
National Provider Identifier
1134496722
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
019227 Issued in NY
Practice address
500 Old Country Rd Ste 100
Garden City, NY 11530-1921
Phone
(516) 240-8212
NPI assigned
Nov 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019227 NY Primary

Addresses

Primary practice location

500 Old Country Rd Ste 100
Garden City, NY 11530-1921

Mailing address

500 Old Country Rd Ste 100
Garden City, NY 11530-1921
Phone (516) 240-8212

Other practice location 1

23 Route 31 N # B24
Pennington, NJ 08534-1600
Phone (347) 829-2811

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
019227NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Diagnostic Evaluations of New York Psychologist Past Accepting new patients

Organizations & group practices 1

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": "1322265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1134496722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD COUNTRY RD STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301921",
            "telephone_number": "516-240-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD COUNTRY RD STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301921",
            "telephone_number": "516-240-8212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Route 31 N # B24",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085341600",
            "country_code": "US",
            "telephone_number": "347-829-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.