Individual provider Active NPI

Lyndsay McCormack, BCBA

  • Specialist
  • Smithtown, NY
National Provider Identifier
1447711056
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
36 Asbury Dr
Smithtown, NY 11787-3127
Phone
(631) 678-8544
NPI assigned
Mar 27, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary
Behavior Analyst 103K00000X NY

Addresses

Primary practice location

36 Asbury Dr
Smithtown, NY 11787-3127

Mailing address

36 Asbury Dr
Smithtown, NY 11787-3127
Phone (631) 678-8544

Other practice location 1

49 Wireless Blvd Ste 170
Hauppauge, NY 11788-3946
Phone (631) 869-4082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1447711056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ASBURY DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873127",
            "telephone_number": "631-678-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 ASBURY DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873127",
            "telephone_number": "631-678-8544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Wireless Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117883946",
            "country_code": "US",
            "telephone_number": "631-869-4082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "LYNDSAY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.