Active NPI
Devon Macdermott, Psychologist, P.C.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1134596992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020461
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Devon Macdermott, PH.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.