Organization Active NPI

Psychological Diagnostic Evaluations of New York

  • Psychologist
  • Garden City, NY
National Provider Identifier
1275075871
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PSYCHOLOGICAL DIAGNOSTIC EVALUATIONS OF NEW YORK
Practice address
1044 Franklin Ave
Suite 215
Garden City, NY 11530-2938
Phone
(516) 240-8212
NPI assigned
Nov 14, 2016
Last updated
Nov 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Dr. Erin Marie McDonough, PHDNPI 1134496722
Title
President
Phone
(516) 240-8212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1044 Franklin Ave
Suite 215
Garden City, NY 11530-2938

Mailing address

1044 Franklin Ave
Suite 215
Garden City, NY 11530-2938
Phone (516) 240-8212

National Provider Directory

National Provider Directory

Locations

1044 Franklin Ave
Ste 215
Garden City, NY 11530
Phone (516) 240-8212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1275075871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 FRANKLIN AVE",
            "address_2": "SUITE 215",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302938",
            "telephone_number": "516-240-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 FRANKLIN AVE",
            "address_2": "SUITE 215",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302938",
            "telephone_number": "516-240-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL DIAGNOSTIC EVALUATIONS OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-240-8212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.