Individual provider Active NPI

Scott Tuckman, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1255888657
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006696-1 Issued in NY
Practice address
1670 76TH St Apt 2R
Brooklyn, NY 11214-1059
Phone
(929) 777-4822
NPI assigned
Sep 2, 2016
Reactivated
Jun 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 006696-1 NY Primary

Addresses

Primary practice location

1670 76TH St Apt 2R
Brooklyn, NY 11214-1059

Mailing address

1670 76TH St Apt 2R
Brooklyn, NY 11214-1059
Phone (929) 777-4822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927000046 NY Practitioner - Mental Health Counselor 8729519053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006696-1NYMDMental Health Counselor
7590TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1255888657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 76TH ST APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141059",
            "telephone_number": "929-777-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 76TH ST APT 2R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141059",
            "telephone_number": "929-777-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKMAN",
        "first_name": "SCOTT",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "deactivation_date": "2019-08-27",
        "reactivation_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006696-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.