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MICHAEL MCDERMOTT
NPI 1811659014
Specialist in Melville, NY

Active since October 06, 2021
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747(516) 455-3657 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 8, 2021, Oct 6, 2021 (2 updates tracked since 2021).

About Michael Mcdermott NPPES

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

MICHAEL MCDERMOTT (NPI 1811659014) is an individual specialist in Melville, New York and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1811659014
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL MCDERMOTT
Location Address225 BROADHOLLOW RD STE 402Melville, NY 11747-4899
Mailing Address41 Carlson AveKings Park, NY 11754-3714 · (516) 455-3657
Phone(516) 455-3657
Sole ProprietorYes
Enumeration DateOctober 6, 2021
Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1811659014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
225 BROADHOLLOW RD STE 402, Melville, NY 11747
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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.

JACQUELYN J TENENZAPH
Behavior Analyst
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
ADRIANA MEDINA
Behavior Analyst
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7795
JADE MASON
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
SAMANTHA ANN SANGEMINO
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
EVALIS PAGAN
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
ELISSA V KHARGIE
Specialist
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
CARA MARIA DEANGELIS
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MS. ALYSSA RUIZ
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780

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 Michael Mcdermott's NPI number?

The NPI number for Michael Mcdermott is 1811659014. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Michael Mcdermott located?

Michael Mcdermott practices at 225 Broadhollow Rd Ste 402, Melville, NY 11747. The listed phone number is (516) 455-3657.

What is Michael Mcdermott's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Mcdermott was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.