Individual provider Active NPI

Darlene Magito McLaughlin, PH.D.

  • Intellectual & Developmental Disabilities Psychologist
  • Northport, NY
National Provider Identifier
1609994110
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
0144981 Issued in NY
Practice address
410 Fort Salonga Rd
Northport, NY 11768-3046
Phone
(631) 262-8561
Fax
(631) 261-6052
NPI assigned
Mar 26, 2007
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 0144981 NY Primary
Behavior Analyst 103K00000X 000521 NY

Addresses

Primary practice location

410 Fort Salonga Rd
Northport, NY 11768-3046

Mailing address

410 Fort Salonga Rd
Northport, NY 11768-3046
Phone (631) 262-8561

Other practice location 1

290 Hawkins Ave
Ronkonkoma, NY 11779-9600
Phone (631) 262-8561

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210309000224 NY Practitioner - Clinical Psychologist 1658787163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

410 Fort Salonga Rd
Northport, NY 11768-3046
Phone (631) 262-8561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000521NYMDBehavioral Analyst
0144981NYMDIntellectual & Developmental Disabilities Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Behavior Support Consulting & Psychological Resources PC Behavior Analyst CurrentSince Dec 1, 2020 Accepting new patients

Locations

410 Fort Salonga Rd
Northport, NY 11768
Phone (631) 262-8561

290 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 262-8561

290 Hawkins Ave
Ste A
Ronkonkoma, NY 11779
Phone (631) 262-8561

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1609994110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683046",
            "telephone_number": "631-262-8561",
            "fax_number": "631-261-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FORT SALONGA RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683046",
            "telephone_number": "631-262-8561",
            "fax_number": "631-261-6052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Hawkins Ave",
            "address_purpose": "LOCATION",
            "city": "Ronkonkoma",
            "state": "NY",
            "postal_code": "117799600",
            "country_code": "US",
            "telephone_number": "631-262-8561",
            "fax_number": "631-261-6052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGITO MCLAUGHLIN",
        "first_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NY",
            "license": "0144981",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.