MALCOLM MCCULLOUGH
NPI 1689897027
Psychologist - Clinical in Malverne, NY

Active since April 11, 2007PECOS EnrolledAccepts Medicare Assignment
51 LAWRENCE AVE, MALVERNE, NY 11565(516) 456-1363 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Malcolm Mccullough NPPES

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

MALCOLM MCCULLOUGH (NPI 1689897027) is an individual clinical provider in Malverne, New York, licensed in New York (008754-1) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1689897027
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMALCOLM MCCULLOUGH
Location Address51 LAWRENCE AVEMalverne, NY 11565-1406
Mailing AddressPo Box 826East Setauket, NY 11733-0636 · (631) 444-2938
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateApril 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1689897027 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 · 008754-1
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.
51 LAWRENCE AVE, Malverne, NY 11565

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Malcolm Mccullough is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709840473
PECOS Enrollment IDI20041112001195
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11565 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Malcolm Mccullough's NPI number?

The NPI number for Malcolm Mccullough is 1689897027. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Malcolm Mccullough located?

Malcolm Mccullough practices at 51 Lawrence Ave, Malverne, NY 11565. The listed phone number is (516) 456-1363.

What is Malcolm Mccullough's specialty?

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

Is Malcolm Mccullough enrolled in Medicare?

Yes. Malcolm Mccullough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Malcolm Mccullough accept?

Health plans from Providence Health Plan list Malcolm Mccullough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Malcolm Mccullough was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.