Individual provider Active NPI

Sean Thomas McCabe, PSY.D.

  • Psychologist
  • Oceanside, NY
National Provider Identifier
1326706953
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
024672 Issued in NY
Practice address
14 Hull St
Oceanside, NY 11572-2533
Phone
(516) 241-4868
NPI assigned
Dec 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 024672 NY
Psychologist 103T00000X 024672 NY Primary

Addresses

Primary practice location

14 Hull St
Oceanside, NY 11572-2533

Mailing address

14 Hull St
Oceanside, NY 11572-2533
Phone (516) 241-4868

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
I20220325001123 NY Practitioner - Clinical Psychologist 3678968864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024672NYMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Care Diagnostic and Treatment Center ,Inc CurrentSince Jan 14, 2022 Accepting new patients

Locations

230 Hanse Ave
Freeport, NY 11520
Phone (516) 686-4400

189 Wheatley Rd
Glen Head, NY 11545
Phone (516) 626-1075

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1326706953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HULL ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722533",
            "telephone_number": "516-241-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HULL ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722533",
            "telephone_number": "516-241-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "SEAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "024672",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.