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NICOLE DANIELLE MCDONOUGH
NPI 1639968464
Counselor - Mental Health in Massapequa, NY

Active since May 06, 2025
627 BROADWAY SUITE 200, MASSAPEQUA, NY 11758(516) 450-5836 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Danielle Mcdonough NPPES

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

NICOLE DANIELLE MCDONOUGH (NPI 1639968464) is an individual mental health provider in Massapequa, New York, licensed in New York (P119306) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1639968464
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE DANIELLE MCDONOUGH
Location Address627 BROADWAY SUITE 200Massapequa, NY 11758-5031
Mailing Address627 Broadway Suite 200Massapequa, NY 11758
Phone(516) 450-5836
Sole ProprietorNo
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1639968464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · P119306
627 BROADWAY SUITE 200, Massapequa, NY 11758
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mcdonough's NPI number?

The NPI number for Nicole Mcdonough is 1639968464. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Nicole Mcdonough located?

Nicole Mcdonough practices at 627 Broadway Suite 200, Massapequa, NY 11758. The listed phone number is (516) 450-5836.

What is Nicole Mcdonough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Mcdonough was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.