Active NPI
Thomas Edward Coghlan, PSYD
- Clinical Psychologist
- Great Neck, NY
National Provider Identifier
1760972319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020173
- Practice address
- 8 Bond St Ste 400
Great Neck, NY 11021-2418 - Phone
- (516) 439-4441
- NPI assigned
- May 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 020173 | NY | Primary |
Addresses
Primary practice location
8 Bond St Ste 400
Great Neck, NY 11021-2418
Mailing address
8 Bond St Ste 400
Great Neck, NY 11021-2418
Phone (516) 439-4441
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1760972319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BOND ST STE 400",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212418",
"telephone_number": "516-439-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 BOND ST STE 400",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212418",
"telephone_number": "516-439-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGHLAN",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-18",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.