Free Mind Therapy Ny LCSW PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FREE MIND THERAPY NY LCSW PLLC

Practice address

20 Northfield Dr
Northport, NY 11768-2413

Phone

(516) 578-4430

NPI assigned

Apr 18, 2023

Organization subpart

No

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

Authorized official

Name

Sean D Maccorkindale, LCSWNPI 1104461789

Title

Member

Phone

(516) 578-4430

Specialties & licenses 1

Addresses

Other names 1

• maccorkindale Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean Duncan Mac Corkindale, LMSW

  • Mental Health Counselor
  • Northport, NY
  • NPI 1104461789
  NPD Authorized official

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1366139727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NORTHFIELD DR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682413",
            "telephone_number": "516-578-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NORTHFIELD DR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682413",
            "telephone_number": "516-578-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE MIND THERAPY NY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "MACCORKINDALE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-578-4430",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "maccorkindale",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nancie E, Forrest, L.AC.
• Christine Foster, P.T.
• Maggie Rose Fox
• Rohan Francis, LMHC
• Ede Frecska, M.D.
• Tracy Anne French, PSYD
• Michael John Friar, PT,DPT
• Ilene Lauren Friedman, M.D.
• Melvin M Fritz, D.O., M.D.
• Caryn Ann Frohnhoefer, PA

• Behavior Analyst in Northport, NY
• Providers in Northport, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.