SEAN CONDON PH.D. - NPI 1013952449 - Psychologist in Brooklyn, NY

Q: What is Sean Condon's NPI number?

The NPI number for Sean Condon is 1013952449. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Sean Condon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Sean Condon enrolled in Medicare?

No. Sean Condon has opted out of Medicare through March 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Sean Condon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Sean Condon Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN CONDON PH.D. (NPI 1013952449) is an individual clinical provider in Brooklyn, New York, licensed in New York (016047) and active in the NPI registry since June 2006. He has opted out of Medicare through March 17, 2028.

NPPES Registry Identity

NPI1013952449

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameSEAN CONDONCredential: PH.D.

Location Address135 LINDEN BLVDBrooklyn, NY 11226-3302

Mailing Address1 Old Country Rd, Suite 271Carle Place, NY 11514-1801 · (800) 725-6280 · Fax (800) 725-6380

Phone(718) 693-6060

Fax(718) 693-4151

Sole ProprietorNo

Enumeration DateJune 19, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1013952449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 016047

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

135 LINDEN BLVD, Brooklyn, NY 11226

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Other Identifiers 1

Medicaid02689912NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sean Condon Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2026 through March 17, 2028.

Opt-Out Effective DateMarch 17, 2026

Opt-Out In Effect ThroughMarch 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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