Mcdonagh, John Michael

Mcdonagh, John Michael is an sole proprietor health care provider with primary practice located at 2 Carnegie Avenue , Cold Spring Harbor NY 11724-2000. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Mcdonagh, John Michael can be contacted via phone (631) 427-6902.

Contact Information

Primary practice address
2 Carnegie Avenue Cold Spring Harbor NY 11724-2000
Phone: (631) 427-6902
Fax: (631) 427-6902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0047851 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0047851 New York

Profile Details

NPI number 1619015021
LBN Legal business name Mcdonagh, John Michael
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Aug 12th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619015021 NPPES
Other 5838 AMER BOARD PROF PSYCHOLOG
MEDICAID 00625269 AMER BOARD PROF PSYCHOLOG

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