Active NPI
Maria Victoria Tuccillo, PH.D.
- Psychologist
- Northport, NY
National Provider Identifier
1780429951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 027760
- Practice address
- 260 Main St Ste 101
Northport, NY 11768-1738 - Phone
- (516) 589-0492
- NPI assigned
- Jun 28, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 027760 | NY | Primary |
Addresses
Primary practice location
260 Main St Ste 101
Northport, NY 11768-1738
Mailing address
260 Main St Ste 101
Northport, NY 11768-1738
Phone (631) 213-1195
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027760 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1780429951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 MAIN ST STE 101",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681738",
"telephone_number": "631-213-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 MAIN ST STE 101",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681738",
"telephone_number": "516-589-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCCILLO",
"first_name": "MARIA",
"middle_name": "VICTORIA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-28",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "027760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.