Individual provider Active NPI

Richard Michael Carlton, M.D.

  • Psychiatry Physician
  • Port Washington, NY
National Provider Identifier
1881928174
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
106449 Issued in NY
Practice address
3 Secor Dr
Port Washington, NY 11050-3417
Phone
(917) 697-4233
Fax
(516) 944-7010
NPI assigned
Sep 20, 2009
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 106449 NY Primary

Addresses

Primary practice location

3 Secor Dr
Port Washington, NY 11050-3417

Mailing address

3 Secor Dr
Port Washington, NY 11050-3417
Phone (516) 944-5529

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111208000215 NY Practitioner - Psychiatry 4486829108 Practice locations: Great Neck, NY; Port Washington, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York Medical College, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

935 Northern Boulevard
Suite 102
Great Neck, NY 11021-5309
Phone (516) 487-7116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106449NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1881928174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SECOR DR",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503417",
            "telephone_number": "516-944-5529",
            "fax_number": "516-944-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SECOR DR",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503417",
            "telephone_number": "917-697-4233",
            "fax_number": "516-944-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLTON",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-20",
        "last_updated": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "106449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

Verify at the official NPI Registry.