Kevin McDermott, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00662300 Issued in NJ

Practice address

322 Commons Way
Princeton, NJ 08540-1510

Phone

(609) 921-0020

NPI assigned

Aug 16, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1316720188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279A FRANKLIN AVE",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402716",
            "telephone_number": "908-731-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COMMONS WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401510",
            "telephone_number": "609-921-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "KEVIN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00662300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Rae McAllister, BCABA
• Johnathan B McCabe, MD
• Laura McCann, PSYD
• Susan Nan McCoy, MD
• Kristin McCune, MA CCC SLP
• Brian G McDonald, PSY.D.
• Linda McDonald, LCSW
• Charles John McHugh, M.D.
• Beth McLaughlin
• Anita McLean, PH.D., PSY.D.

• Mental Health Counselor in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.