Individual provider Active NPI

Mark Lawrence D'Agostino, M.D.

  • Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1255664769
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME144849 Issued in FL
Practice address
1343 Main St
Sarasota, FL 34236-5637
Phone
(203) 441-7374
NPI assigned
Sep 15, 2009
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 60333 CT
Psychiatry Physician 2084P0800X 270357 NY
Psychiatry Physician 2084P0800X 2021-03385 NC
Psychiatry Physician 2084P0800X ME144849 FL Primary

Addresses

Primary practice location

1343 Main St
Sarasota, FL 34236-5637

Mailing address

5323 Siesta Cove Dr
Sarasota, FL 34242-1702
Phone (617) 785-0404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, FL, NC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160720000386 NY Practitioner - Psychiatry 5890978563 Reassigns benefits to 2 organizations
I20181102000945 CT Practitioner - Psychiatry 5890978563 Reassigns benefits to 3 organizations
I20211213001268 FL Practitioner - Psychiatry 5890978563 Reassigns benefits to 1 organization
I20220324001689 NC Practitioner - Psychiatry 5890978563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60333CTMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindhealthy PC CurrentSince Mar 13, 2020 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Neighborhood Health, Inc. Psychiatry CurrentSince May 22, 2020 Accepting new patients
Northern Westchester Hospital Association Psychiatry CurrentSince Jul 1, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 1, 2020 Accepting new patients
Northern Westchester Hospital Association CurrentSince Jul 1, 2016 Accepting new patients
The New York and Presbyterian Hospital CurrentSince Jul 1, 2016 Accepting new patients
The New York and Presbyterian Hospital Current Accepting new patients
New York and Presbyterian Hosp Psychiatry CurrentSince Jul 1, 2016 Accepting new patients
Northern Westchester Hospital Association Current Accepting new patients
Silver Hill Hospital, Inc CurrentSince Sep 1, 2018 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

208 Valley Rd
New Canaan, CT 06840
Phone (203) 966-3561

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801

5664 Bee Ridge Rd
Ste 203
Sarasota, FL 34233
Phone (877) 422-9355

115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632

1001 Aviation Pkwy
Ste 400
Morrisville, NC 27560
Phone (833) 375-5300

909 Aviation Pkwy
Ste 400
Morrisville, NC 27560
Phone (888) 510-1352

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

Interoperability endpoints

  • Direct secure messaging: mark.d'agostino@xdr.hhchealthdirect.org

Organizations & group practices 12

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": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1255664769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 SIESTA COVE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342421702",
            "telephone_number": "617-785-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 MAIN ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342365637",
            "telephone_number": "203-441-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AGOSTINO",
        "first_name": "MARK",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CT",
            "license": "60333",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "270357",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2021-03385",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME144849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.