Deirdre McDonough, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

010722 Issued in NY

Practice address

399 Merrick Ave
Merrick, NY 11566-2723

Phone

(516) 623-8116

NPI assigned

Feb 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1881084606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662723",
            "telephone_number": "516-623-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662723",
            "telephone_number": "516-623-8116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Merrick Ave",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115662723",
            "country_code": "US",
            "telephone_number": "516-623-8116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Wantagh Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117932210",
            "country_code": "US",
            "telephone_number": "516-623-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "DEIRDRE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "010722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinah Levant Mast, PHD
• Kala Jessy Mathew, AGACNP-BC
• Matthew E Goldschmidt DC PC
• Nancy Mauser, M.A.
• Samantha Mauser, LMSW
• Kristi Ann McGrath
• Siobhain Therese McHale, NP-C
• Amy E McHugh, MS OTR/L
• Patricia McKeegan, PH.D.
• Kelsey McLaughlin, PSY.D.

• Massage Therapist in Merrick, NY
• Providers in Merrick, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.