Active NPI
David Makowski, PH.D.
- Clinical Psychologist
- Stony Brook, NY
National Provider Identifier
1588606560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012396
- Practice address
- 169 Putnam Hall
Stony Brook University - South Campus
Stony Brook, NY 11794-1595 - Phone
- (631) 632-3096
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012396 | NY | Primary |
Addresses
Primary practice location
169 Putnam Hall
Stony Brook University - South Campus
Stony Brook, NY 11794-1595
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 632-3785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01905393 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012396 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444867200000",
"number": "1588606560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989",
"telephone_number": "631-632-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 PUTNAM HALL",
"address_2": "STONY BROOK UNIVERSITY - SOUTH CAMPUS",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117941595",
"telephone_number": "631-632-3096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKOWSKI",
"first_name": "DAVID",
"name_prefix": "Prof.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2015-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01905393",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.