Jonathan Desmond McRae, M.S. ED., CAS
Individual provider Active NPI School Psychologist · Wynantskill, NY
NPI 1871000786 · NPPES record last updated Jan 2, 2018
Key facts
- NPI
- 1871000786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1135610171 (NY)
- Practice address
- 614 Cooper Hill Rd
Wynantskill, NY 12198-2906 - Phone
- (518) 283-6500
- Fax
- (518) 283-7156
- NPI assigned
- Jan 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1135610171 | NY | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1135610171 | NY | Yes |
Addresses
Primary practice location
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Mailing address
611 Warren St
Albany, NY 12208-3215
Phone (914) 318-8367
Other providers in Wynantskill, NY
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- Patricia Jean Manning
- Kenneth March
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- Suzanne McNamara
- Karine Meunier
- Meghan Mosch
- Melinda Y Myers
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- Maureen O'Brien
All providers in Wynantskill, NY · School Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.