Charles E. McDermott, M.D., PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

124153 Issued in NY

Legal business name

CHARLES E. MCDERMOTT, M.D., PC

Doing business as

Adult, Adolescent & Aging Counseling & Psychiatry

Practice address

9920 4TH Ave
Suite 312
Brooklyn, NY 11209-8333

Phone

(718) 788-5005

NPI assigned

Jun 17, 2010

Last updated

Jun 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Edward McDermott, M.D.NPI 1164563052

Title

President

Phone

(718) 788-5005

Specialties & licenses 1

Addresses

Other names 1

• Adult, Adolescent & Aging Counseling & Psychiatry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles E McDermott, M.D.

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1164563052
  Authorized official Same address or phone
• Marie McDermott, C.S.W.

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1093834921
  NPD (past)

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1962723551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 6TH AVE",
            "address_2": "PENTHOUSE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152104",
            "telephone_number": "718-788-5005",
            "fax_number": "718-788-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE 312",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-788-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. MCDERMOTT, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-788-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "124153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult, Adolescent & Aging Counseling & Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faye Charlery
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• Patrice Charles Cordner
• Charles E Morris
• Charles Henry Starke II M.D. P.C.
• Charles I. Ornstein (Twenty/Twenty Optical)
• Charles J Pearlman MD PLLC
• Charles Lu DDS PC
• Charles M. Edelstein DPM PLLC

• Psychiatry Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.