Maria Del Carmen Antoine, PH.D.

Individual provider Active NPI Clinical Psychologist · Baldwin, NY

NPI 1366712432 · NPPES record last updated Aug 21, 2025

Key facts

NPI
1366712432
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
012326-1 (NY)
Practice address
3098 Ann St
Baldwin, NY 11510
Phone
(516) 623-2756
NPI assigned
Jan 6, 2012
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150813011962 NY Practitioner - Clinical Psychologist 1355656760 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012326-1NYMDClinical Psychologist
461486931NYMDSchool Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 461486931 NY
Clinical Psychologist 103TC0700X 012326-1 NY Yes

Addresses

Primary practice location

3098 Ann St
Baldwin, NY 11510

Mailing address

3098 Ann St
Baldwin, NY 11510-4504
Phone (516) 623-2756

Other providers in Baldwin, NY

All providers in Baldwin, NY · Clinical Psychologist in New York

Sources for this page

Verify at the official NPI Registry.