Nicolette Makedon, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009638-01 Issued in NY

Practice address

97 Cedarhurst Ave Ste 3
Cedarhurst, NY 11516-2140

Phone

(516) 350-8564

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sukhjitkaur LLC

  • Nursing Care Agency
  • Massapequa, NY
  • NPI 1396487799
  NPD
• Nassau Psychology Associates

  • Psychologist
  • Cedarhurst, NY
  • NPI 1669899043
  NPD (past)
• Nassau Psychology, P.C.

  • Psychologist
  • Lynbrook, NY
  • NPI 1750763538
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1144873530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GROVE AVE STE 204",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162302",
            "telephone_number": "516-350-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CEDARHURST AVE STE 3",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162140",
            "telephone_number": "516-350-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKEDON",
        "first_name": "NICOLETTE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009638-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Pedicatric Group
• Long Island Psychology Pyschotherapy Servicespllc
• Yehudis Lovett, NP
• Simona Lumerman, PSY.D.
• Karen Mackler, PH.D.
• Randy Malek Hackel
• Kelly Mantia, NP
• Michelle Marciano, MS. C-C-C SLP
• Stephen H Marcus, MD
• Michael E. Margulis, M.D.

• All providers in Cedarhurst, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.