James McDermott, CASAC-G

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2157 Issued in NY

Practice address

743 Columbia Turnpike
East Greenbush, NY 12061

Phone

(518) 477-7535

Fax

(518) 477-7555

NPI assigned

Oct 22, 2012

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1649523010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 COLUMBIA TURNPIKE",
            "address_2": "HUDSON MOHAWK RECOVERY CENTER",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "12061",
            "telephone_number": "518-477-7535",
            "fax_number": "518-477-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 COLUMBIA TURNPIKE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "12061",
            "telephone_number": "518-477-7535",
            "fax_number": "518-477-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "JAMES",
        "credential": "CASAC-G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Martucci, DPT
• Marcus Massaconi
• Arika Mathews
• Regina Matthews-Johnson
• Laurie Anne McBain, CSW
• Stacey Ann McGovern, RPH
• Morgan McIntosh
• Katherine McMahon
• Colleen Ann McManus-Sarubbi, RN
• Latanya McQueen

• All providers in East Greenbush, NY
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.