Organization Active NPI

Devon Macdermott, Psychologist, P.C.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1134596992
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020461 Issued in NY
Legal business name
DEVON MACDERMOTT, PSYCHOLOGIST, P.C.
Practice address
80 5TH Ave
Suite 1107
New York, NY 10011-8002
Phone
(201) 674-5603
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Dr. Devon Macdermott, PH.D.NPI 1043437171
Title
Owner
Phone
(201) 674-5603

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 020461 NY Primary

Addresses

Primary practice location

80 5TH Ave
Suite 1107
New York, NY 10011-8002

Mailing address

100 Lefferts Ave
Apt 6B
Brooklyn, NY 11225-3948
Phone (201) 674-5603

National Provider Directory

National Provider Directory

Locations

80 5th Ave
Rm 1107
New York, NY 10011
Phone (212) 255-1245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1134596992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LEFFERTS AVE",
            "address_2": "APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253948",
            "telephone_number": "201-674-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE",
            "address_2": "SUITE 1107",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "201-674-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVON MACDERMOTT, PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "MACDERMOTT",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-674-5603",
        "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": "020461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.