Michael McCrory

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143

Phone

(315) 848-5404

Fax

(315) 848-3285

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

No

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

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clifton-Fine Healthcare CorporationGroup PAC ID 9739090382, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clifton-Fine Healthcare Corporation

  • Rural Acute Care Hospital
  • Star Lake, NY
  • NPI 1235184649
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1558092460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 OSWEGATCHIE TRAIL RD",
            "city": "STAR LAKE",
            "state": "NY",
            "postal_code": "136903143",
            "telephone_number": "315-848-5404",
            "fax_number": "315-848-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 OSWEGATCHIE TRAIL RD",
            "city": "STAR LAKE",
            "state": "NY",
            "postal_code": "136903143",
            "telephone_number": "315-848-5404",
            "fax_number": "315-848-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRORY",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lynn Hance, RN
• Cassandra Hart
• Daisy Jaganathan, MD
• Jeremy Loving, PA-C
• Lori A Lundberg, DPM
• Daniel Ernest Morgan, D.O.
• Alicia Sue Ross
• Diane Birney Scott, RPH
• Lacey Scott
• Matthew Scott, R.PH.

• Mental Health Counselor in Star Lake, NY
• Providers in Star Lake, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.