Individual provider Active NPI

Sean McNally

  • Marriage & Family Therapist
  • Brooklyn, NY
National Provider Identifier
1841063559
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
P124413 Issued in NY
Practice address
628 Vanderbilt Ave Apt 2
Brooklyn, NY 11238-3825
Phone
(847) 910-6843
NPI assigned
Nov 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X P124413 NY Primary

Addresses

Primary practice location

628 Vanderbilt Ave Apt 2
Brooklyn, NY 11238-3825

Mailing address

628 Vanderbilt Ave Apt 2
Brooklyn, NY 11238-3825

Other practice location 1

225 N Michigan Ave Ste 1430
Chicago, IL 60601-7653
Phone (312) 766-6780

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

State licenses

LicenseStateTypeSpecialty
P124413NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1841063559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 VANDERBILT AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 VANDERBILT AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383825",
            "telephone_number": "847-910-6843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 N Michigan Ave Ste 1430",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017653",
            "country_code": "US",
            "telephone_number": "312-766-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNALLY",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P124413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.