Active NPI
Cathleen M, Colligan, M.A.,R.D.,C.D.N.
- Nutritionist
- Port Washington, NY
National Provider Identifier
1912079591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 1254 Port Washington Blvd
Port Washington, NY 11050-3050 - Phone
- (516) 944-0899
- Fax
- (516) 944-0899
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NY | Primary |
Addresses
Primary practice location
1254 Port Washington Blvd
Port Washington, NY 11050-3050
Mailing address
1254 Port Washington Blvd
Port Washington, NY 11050-3050
Phone (516) 944-0899
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004979 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients |
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.
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912079591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1254 PORT WASHINGTON BLVD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503050",
"telephone_number": "516-944-0899",
"fax_number": "516-944-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1254 PORT WASHINGTON BLVD",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503050",
"telephone_number": "516-944-0899",
"fax_number": "516-944-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIGAN",
"first_name": "CATHLEEN",
"middle_name": "M,",
"name_prefix": "Ms.",
"credential": "M.A.,R.D.,C.D.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Washington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.