Active NPI
Craig M. McCarthy, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1386847341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 27649
- Practice address
- 144 W 12TH St
New York, NY 10011-8202 - Phone
- (917) 608-4506
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 27649 | AZ | Primary |
| Psychiatry Physician | 2084P0800X | 195748 | NY |
Addresses
Primary practice location
144 W 12TH St
New York, NY 10011-8202
Mailing address
144 W 12TH St
New York, NY 10011-8202
Phone (917) 608-4506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3471721241 | Other | NY | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27649 | AZ | MD | Psychiatry Physician |
| 195748 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Department of Human Services | Current | Accepting new patients | |
| Pennsylvania Department of Public Welfare | Current | Accepting new patients | |
| St Vincents Hospital and Medical Center | Past | Accepting new patients | |
| Vijay K. Jain, Psy.D. Inc | Past | Accepting new patients |
Locations
1451 Hillside Dr
Clarks Summit, PA 18411
Phone (570) 857-7251
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Clarks Summit, PA
- NPI 1447233424
-
- Psychiatric Hospital
- Allentown, PA
- NPI 1386626919
-
- Specialist
- New York, NY
- NPI 1285746354
-
- Clinical Psychologist
- Phoenix, AZ
- NPI 1295907426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238544000000",
"number": "1386847341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 W 12TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118202",
"telephone_number": "917-608-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 W 12TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118202",
"telephone_number": "917-608-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "CRAIG",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2009-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "27649",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "195748",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "3471721241",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.