Mercedes Anita McCormick, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

014540-1 Issued in NY

Practice address

32 Gramercy Park S
Sutie 1B
New York, NY 10003-1707

Phone

(917) 363-7250

NPI assigned

Dec 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518022284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HUDSON ST",
            "address_2": "APT. 2810 EAST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073026575",
            "telephone_number": "917-363-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GRAMERCY PARK S",
            "address_2": "SUTIE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031707",
            "telephone_number": "917-363-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MERCEDES",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014540-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "014540-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Patrick McCormick, EDD
• Jon McCormick, PH.D.
• Kevin Robert McCormick, PT, DPT
• Kyle Lindsey McCormick
• Marie Louise McCormick, M.S.W.
• Patrick J McCormick, M.D.
• Paul Christian McCormick, M.D.
• Paul Christian McCormick, MD
• Renee Veronica McCormick, PH.D.
• Tosia Neiger McCormick, MS, LMHC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.