Individual provider Active NPI

Mary-Thomas Turnock, PHD

  • Psychologist
  • White Plains, NY
National Provider Identifier
1922163740
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
007668-1 Issued in NY
Practice address
23 Old Mamaroneck Rd
Ste 2
White Plains, NY 10605-2061
Phone
(914) 834-3889
Fax
(914) 834-3889
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 007668-1 NY Primary

Addresses

Primary practice location

23 Old Mamaroneck Rd
Ste 2
White Plains, NY 10605-2061

Mailing address

152 Valley Stream Rd E
Larchmont, NY 10538-1743
Phone (914) 834-3889

Other identifiers 1

IdentifierTypeStateIssuer
02262788MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000028 NY Practitioner - Clinical Psychologist 2163682865 Practice locations: Mamaroneck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Harrison Ave
Suite G 101
Mamaroneck, NY 10543-3124
Phone (914) 834-3889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
007668-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hollander Psychological Consulting PC PastSince Sep 21, 1992 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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1922163740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 VALLEY STREAM RD E",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381743",
            "telephone_number": "914-834-3889",
            "fax_number": "914-834-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OLD MAMARONECK RD",
            "address_2": "STE 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052061",
            "telephone_number": "914-834-3889",
            "fax_number": "914-834-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNOCK",
        "first_name": "MARY-THOMAS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007668-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02262788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.