Active NPI
Mariah Ashley McClinton
- Occupational Therapist
- Syosset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 025104
- Practice address
- 6800 Jericho Tpke Ste 120W
Syosset, NY 11791-4445 - Phone
- (516) 393-5966
- Fax
- (800) 783-5909
- NPI assigned
- Oct 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 025104 | NY | Primary |
Addresses
Primary practice location
6800 Jericho Tpke Ste 120W
Syosset, NY 11791-4445
Mailing address
42 Tiber Ave
Deer Park, NY 11729-7012
Phone (401) 999-0737
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://web2.providersoftllc.com/Therapists2Go/TherapistsLogin/TherapistLoginScreen.aspx | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Attain Physical Therapy | Multi-Specialty | Current | Accepting new patients |
| Varsha Pohuja LLC | Multi-Specialty | Current | Accepting new patients |
| McClinton Therapy Services | Occupational Therapist | Current | Accepting new patients |
| At Home by Enhance Therapies LLC | Multi-Specialty | Current | Accepting new patients |
| Interborough Developmental and Consultation Center, Inc. | Multi-Specialty | Current | Accepting new patients |
| Mobile Therapy Services, Inc. | Multi-Specialty | Current | Accepting new patients |
Locations
1275 Bloomfield Ave
Ste 60
Fairfield, NJ 07004
411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833
400 Route 70
Lakewood, NJ 08701
Phone (609) 805-1686
357 Buckelew Ave
Monroe Twp, NJ 08831
Phone (732) 521-1194
1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800
8 John Walsh Blvd
Ste 406A
Peekskill, NY 10566
Phone (732) 440-7858
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shivaya Rehabilitation
- Rehabilitation Clinic/Center
- Long Branch, NJ
- NPI 1295281699
Multi-Specialty
-
- Occupational Therapist
- Union, NJ
- NPI 1780499699
-
dba LSA Recovery
- Case Management Agency
- Brooklyn, NY
- NPI 1588611842
-
dba IDCC Health Services
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1912867433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1184224800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 TIBER AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117297012",
"telephone_number": "401-999-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 JERICHO TPKE STE 120W",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914445",
"telephone_number": "516-393-5966",
"fax_number": "800-783-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLINTON",
"first_name": "MARIAH",
"middle_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "025104",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://web2.providersoftllc.com/Therapists2Go/TherapistsLogin/TherapistLoginScreen.aspx",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "6800 Jericho Tpke Ste 120W",
"city": "Syosset",
"state": "NY",
"country_code": "US",
"postal_code": "117914445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.