Individual provider Active NPI

Mariah Ashley McClinton

  • Occupational Therapist
  • Syosset, NY
National Provider Identifier
1184224800
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025104 Issued in NY
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

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220822002434 NY Practitioner - Occupational Therapist in Private Practice 6103209218 Reassigns benefits to 1 organization
I20230308001846 NJ Practitioner - Occupational Therapist in Private Practice 6103209218 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Attain Physical Therapy Multi-Specialty CurrentSince Mar 22, 2023 Accepting new patients
Varsha Pohuja LLC Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
McClinton Therapy Services Occupational Therapist Current Accepting new patients
At Home by Enhance Therapies LLC Multi-Specialty CurrentSince Feb 9, 2023 Accepting new patients
Interborough Developmental and Consultation Center, Inc. Multi-Specialty CurrentSince Nov 15, 2025 Accepting new patients
Mobile Therapy Services, Inc. Multi-Specialty CurrentSince Oct 15, 2024 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.

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.

Verify at the official NPI Registry.