Active NPI
Mary Beth McLaughlin Cresci, PH.D.
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1992796098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 004660-1
- Practice address
- 10 Pineapple St
Brooklyn, NY 11201-1615 - Phone
- (718) 625-0221
- NPI assigned
- Oct 30, 2005
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 004660-1 | NY | Primary |
Addresses
Primary practice location
10 Pineapple St
Brooklyn, NY 11201-1615
Mailing address
10 Pineapple St
Brooklyn, NY 11201-1615
Phone (718) 625-0221
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0093630 | Other | NY | GHI |
| 147299 | Other | NY | VALUE OPTIONS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101202000002 | NY | Practitioner - Clinical Psychologist | 7719173749 | Practice locations: Garrison, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
721 Route 9D
Garrison, NY 10524-3350
Phone (718) 625-0221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004660-1 | NY | MD | Clinical Psychologist |
| 004660 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992796098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PINEAPPLE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011615",
"telephone_number": "718-625-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PINEAPPLE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011615",
"telephone_number": "718-625-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESCI",
"first_name": "MARY BETH",
"middle_name": "MCLAUGHLIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "004660-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0093630",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "147299",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.