Individual provider Active NPI

John Gregory Cottone, PH.D.

  • Clinical Psychologist
  • Stony Brook, NY
National Provider Identifier
1396887733
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017050-1 Issued in NY
Practice address
1099 North Country Rd
Suite L
Stony Brook, NY 11790-1999
Phone
(631) 941-2211
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017050-1 NY Primary

Addresses

Primary practice location

1099 North Country Rd
Suite L
Stony Brook, NY 11790-1999

Mailing address

1099 North Country Rd
Suite L
Stony Brook, NY 11790-1999
Phone (631) 941-2211

Other identifiers 1

IdentifierTypeStateIssuer
02857523MedicaidNY

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
I20071022000513 NY Practitioner - Clinical Psychologist 0648366682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1099 N Country Rd
Suite L
Stony Brook, NY 11790-1999
Phone (631) 941-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
017050-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
John G. Cottone, Psychologist, PLLC Clinical CurrentSince Nov 11, 2009 Accepting new patients

Locations

1099 N Country Rd
Ste L
Stony Brook, NY 11790
Phone (516) 521-7061

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1396887733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 NORTH COUNTRY RD",
            "address_2": "SUITE L",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901999",
            "telephone_number": "631-941-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 NORTH COUNTRY RD",
            "address_2": "SUITE L",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901999",
            "telephone_number": "631-941-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTONE",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017050-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02857523",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.