Active NPI
Mark Lawrence D'Agostino, M.D.
- Psychiatry Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME144849
- Practice address
- 1343 Main St
Sarasota, FL 34236-5637 - Phone
- (203) 441-7374
- NPI assigned
- Sep 15, 2009
- Last updated
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60333 | CT | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindhealthy PC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Neighborhood Health, Inc. | Psychiatry | Current | Accepting new patients |
| Northern Westchester Hospital Association | Psychiatry | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Northern Westchester Hospital Association | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| The New York and Presbyterian Hospital | Current | Accepting new patients | |
| New York and Presbyterian Hosp | Psychiatry | Current | Accepting new patients |
| Northern Westchester Hospital Association | Current | Accepting new patients | |
| Silver Hill Hospital, Inc | Current | 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
- 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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
dba HHC Neighborhood Health
- General Practice Physician
- Torrington, CT
- NPI 1043544489
Psychiatry
-
dba Northern Westchester Hospital
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
-
- Psychiatric Hospital
- New Canaan, CT
- NPI 1982658035
-
dba Ambulatory Care Network
- Nutritionist
- New York, NY
- NPI 1891857025
-
dba MD Behavioral Health PLCC
- Psychiatry Physician
- Sarasota, FL
- NPI 1396573598
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Psychiatry Physician
- New York, NY
- NPI 1912173329
-
- Psychiatry Physician
- Mount Kisco, NY
- NPI 1194982223
-
dba Northern Westchester Hospital Transitional Care Unit
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
dba New-York-Presbyterian Pharmacy
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.