Active NPI
Lindsey Machicote, PH.D.
- Clinical Psychologist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY022729
- Practice address
- 406 10TH Ave
New York, NY 10001-2320 - Phone
- (212) 273-6500
- NPI assigned
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 022729 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSB94021918 | CA | |
| School Psychologist | 103TS0200X | |||
| Clinical Psychologist | 103TC0700X | PSY022729 | NY | Primary |
Addresses
Primary practice location
406 10TH Ave
New York, NY 10001-2320
Mailing address
406 10TH Ave
New York, NY 10001-2320
Phone (212) 273-6500
Other practice location 1
3443 W Shaw Ave
Fresno, CA 93711-3249
Phone (559) 271-1186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21111 Northern Blvd
Bayside, NY 11361-3241
Phone (212) 563-7474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY022729 | NY | MD | Clinical Psychologist |
| PSB94021918 | CA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Adult Institute, Inc. | Current | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790
220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1851769889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 10TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012320",
"telephone_number": "212-273-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 10TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100012320",
"telephone_number": "212-273-6500"
}
],
"practiceLocations": [
{
"address_1": "3443 W Shaw Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937113249",
"country_code": "US",
"telephone_number": "559-271-1186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACHICOTE",
"first_name": "LINDSEY",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022729",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSB94021918",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "PSY022729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.