Mary F Macedonio, PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018162 Issued in NY

Practice address

31 Commercial CT
Plainview, NY 11803-2403

Phone

(646) 239-8210

Fax

(800) 881-4115

NPI assigned

Oct 19, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• VR-1 Psychological Solutions, PLLC

  • Clinical Psychologist
  • Plainview, NY
  • NPI 1568771442
  Medicare reassignment Authorized official
• Empathea LLC

  • Mental Health Counselor
  • Venice, FL
  • NPI 1760151070

  Single Specialty

  NPD Authorized official
• Gulf Coast Therapy Center

  • Mental Health Counselor
  • Nokomis, FL
  • NPI 1710517412

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1447586862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COURT ST. SUITE 1217 PMB 90760",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014410",
            "telephone_number": "877-978-9877",
            "fax_number": "800-881-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 COMMERCIAL CT",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032403",
            "telephone_number": "646-239-8210",
            "fax_number": "800-881-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Court St. Suite 1217 PMB 90760",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112014410",
            "country_code": "US",
            "telephone_number": "877-978-9877",
            "fax_number": "800-881-4115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACEDONIO",
        "first_name": "MARY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2024-04-10",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Edward Lutz Jr., DC
• Amanda Luyber
• Nicole Marie Lynch, PMHNP
• Dorann R Lyon, M.S.SP.ED.
• Martha Macaluso, MLT, RDH BS
• Leslie P Mackay, CCC/SLP
• Ana C Madeira
• Christina Maffei, OT
• Kristina Magas
• Janine Maggi, OTR/L

• Clinical Psychologist in Plainview, NY
• Providers in Plainview, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.