DEIDRA O'LOUGHLIN M.A.
NPI 1770960239
Counselor - Mental Health in New York, NY

Active since May 04, 2015Opted out of Medicare · through Jun 4, 2028
2090 ADAM CLAYTON POWELL JR BLVD, NEW YORK, NY 10027(718) 772-0020 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deidra O'loughlin M.a. NPPES

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

DEIDRA O'LOUGHLIN M.A. (NPI 1770960239) is an individual mental health provider in New York, New York and active in the NPI registry since May 2015. She has opted out of Medicare through June 4, 2028.

NPPES Registry Identity

NPI1770960239
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEIDRA O'LOUGHLINCredential: M.A.
Location Address2090 ADAM CLAYTON POWELL JR BLVDNew York, NY 10027-4990
Mailing Address33-00 Northern BlvdLong Island City, NY 11101-2215
Sole ProprietorNo
Enumeration DateMay 4, 2015
NPI 1770960239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2090 ADAM CLAYTON POWELL JR BLVD, New York, NY 10027

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Deidra O'loughlin M.a. 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 June 4, 2024 through June 4, 2028.

Opt-Out Effective DateJune 4, 2024
Opt-Out In Effect ThroughJune 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Social Worker
2090 ADAM CLAYTON POWELL JR BLVD
NEW YORK, NY 10027
Social Worker
2090 ADAM CLAYTON POWELL JR BLVD
NEW YORK, NY 10027
Foster Care Agency
2090 ADAM CLAYTON POWELL JR BLVD
NEW YORK, NY 10027
Social Worker
2090 ADAM CLAYTON POWELL JR BLVD
NEW YORK, NY 10027
Social Worker (School)
2090 ADAM CLAYTON POWELL JR BLVD
NEW YORK, NY 10027
Community/Behavioral Health
2090 ADAM CLAYTON POWELL JR BLVD, 4TH FLOOR
NEW YORK, NY 10027
Family Medicine
2090 ADAM CLAYTON POWELL JR BLVD
NEW YORK, NY 10027
Counselor (Mental Health)
2090 ADAM CLAYTON POWELL JR BLVD, JR. BLVD
NEW YORK, NY 10027

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 Deidra O'loughlin's NPI number?

The NPI number for Deidra O'loughlin is 1770960239. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Deidra O'loughlin located?

Deidra O'loughlin practices at 2090 Adam Clayton Powell Jr Blvd, New York, NY 10027. The listed phone number is (718) 772-0020.

What is Deidra O'loughlin's specialty?

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

Is Deidra O'loughlin enrolled in Medicare?

No. Deidra O'loughlin has opted out of Medicare through June 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Deidra O'loughlin was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.