Active NPI
Gary McGlinchey
- Addiction (Substance Use Disorder) Counselor
- Wantagh, NY
National Provider Identifier
1841836889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 23836
- Practice address
- 3375 Park Ave Ste 2004-2
Wantagh, NY 11793-3733 - Phone
- (631) 379-0654
- NPI assigned
- Nov 25, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23836 | NY | Primary |
Addresses
Primary practice location
3375 Park Ave Ste 2004-2
Wantagh, NY 11793-3733
Mailing address
151 Sumpwams Ave
Babylon, NY 11702-3712
Phone (631) 379-0654
Other practice location 1
19 W 34th St Ph
New York, NY 10001-3006
Phone (631) 379-0654
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23836 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1841836889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SUMPWAMS AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "117023712",
"telephone_number": "631-379-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 PARK AVE STE 2004-2",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117933733",
"telephone_number": "631-379-0654"
}
],
"practiceLocations": [
{
"address_1": "19 W 34th St Ph",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100013006",
"country_code": "US",
"telephone_number": "631-379-0654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGLINCHEY",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "23836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.