Kathryn McGovern, DAC, LAC, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005453 Issued in NY

Practice address

421 Great East Neck Rd
West Babylon, NY 11704-7609

Phone

(631) 235-7511

NPI assigned

Nov 4, 2011

Last updated

Dec 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Alchemy Healing Arts LLC

  • Massage Therapist
  • West Babylon, NY
  • NPI 1962202242
  NPD Authorized official
• Serenity Collective

  • Massage Therapist
  • Fort Salonga, NY
  • NPI 1801724356
  NPD Authorized official
• Bodhi Wellness

  • Acupuncturist
  • Shirley, NY
  • NPI 1821581083
  NPD

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1346527371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 GREAT EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047609",
            "telephone_number": "631-235-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 GREAT EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047609",
            "telephone_number": "631-235-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "KATHRYN",
        "credential": "DAC, LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005453",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "024813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximus Diagnostics Nadine Beach DC PC
• Maz Health Concepts Inc (kensington pharmacy and surgicals)
• Maz Health Concepts, Inc. (Kensington Pharmacy & Surgicals)
• Robert William McClellan, LCSW-R
• Laura McGeown, BS
• Andrea McGowan
• Brianna McGuire, LPN
• McKayla Homecare
• Gene Ewing McKevie
• Jillian McLees, NP

• Acupuncturist in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.