MICHAEL P MCCORMICK (NPI# 1164686804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164686804 |
| Entity Type | Individual |
| Full Name | MICHAEL P MCCORMICK |
| Credential | CASAC |
| Practice Address |
2435 6th Ave Troy NY 12180-2227 |
| Mailing Address |
79 Glenridge Rd Glenville NY 12302-4523 |
| Practice Telephone | 5182745143 |
| Practice Fax Number | 5182731350 |
| Mailing Telephone | 5189528408 |
| Mailing Fax Number | 5189528287 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2017-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
19686 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01420800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018176 | Michael Patrick Mccormick | Physician Assistant | 76 Scott Cir, Dedham, MA 02026-6423 | 2020-09-22 |
| 1356710636 | Michael Mccormick | Physical Therapist | 5141 E. I-20, Service Road North, Willow Park, TX 76087 | 2015-09-17 |
| 1225295074 | Michael Vincent Mccormick II | Counselor | 720 South B St, Bldg# M-1 M-2, San Mateo, CA 94401 | 2008-05-20 |
| 1255423059 | Michael D Mccormick | Dentist | 116 S Front St, Dardanelle, AR 72834 | 2006-09-29 |
| 1780796177 | Michael Sean Mccormick | Dentist | 33 Center St, East Aurora, NY 14052-2244 | 2006-08-31 |
| 1336161181 | Michael Thomas Mccormick | Podiatrist | 115 Shamrock Blvd, Venice, FL 34293-1630 | 2006-07-24 |
| 1548204597 | Michael E Mccormick | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2006-06-16 |
| 1245279710 | Michael Cooper Mccormick | Dentist | 2015 Wilmington Rd, New Castle, PA 16105-1928 | 2006-06-06 |
| 1992753586 | Michael S Mccormick | Social Worker | 1129 Fall River Cir, Longmont, CO 80504-8770 | 2006-05-05 |
| 1235103938 | Michael A Mccormick | Surgery | 107 Town Center Rd, King of Prussia, PA 19406-2330 | 2006-02-17 |
| Street Address |
2435 6TH AVE |
| City | TROY |
| State | NY |
| Zip Code | 12180-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356396543 | Conifer Park, Inc. | Clinic/Center | 2435 6th Ave, Troy, NY 12180-2227 | 2006-05-24 |
| 1558992529 | Arianna Antisin | Counselor | 2435 6th Ave, Troy, NY 12180-2227 | 2020-01-29 |
| 1558991265 | Karlie Williams | Social Worker | 2435 6th Ave, Troy, NY 12180-2227 | 2020-01-22 |
| 1255970273 | Matthew Maloney | Counselor | 2435 6th Ave, Troy, NY 12180-2227 | 2019-12-23 |
| 1891330650 | Erin Easter | Licensed Practical Nurse | 2435 6th Ave, Troy, NY 12180-2227 | 2019-11-15 |
| 1790337236 | Tamika L Sowell | Licensed Practical Nurse | 2435 6th Ave, Troy, NY 12180-2227 | 2019-07-15 |
| 1174096010 | Travis James Flewelling | Counselor | 2435 6th Ave, Troy, NY 12180-2227 | 2019-01-03 |
| 1609353515 | Jeidga Cherie Ebanks | Licensed Practical Nurse | 2435 6th Ave, Troy, NY 12180-2227 | 2018-07-24 |
| 1003300658 | Belinda Peters | Counselor | 2435 6th Ave, Troy, NY 12180-2227 | 2018-06-18 |
| 1154819076 | Alesia Wadsworth | Registered Nurse | 2435 6th Ave, Troy, NY 12180-2227 | 2018-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1861903858 | Anew Perspective, Inc. | Counselor | 9 Maplebrooke Ct, Troy, IL 62294-2544 | 2017-10-17 |
| 1720448665 | Milestone Recovery Services LLC | Counselor | 225 N Main St # B, Troy, NC 27371-3061 | 2016-03-04 |
| 1679811855 | Jessica A Bennett | Counselor | 888 W Big Beaver Rd Ste 780, Troy, MI 48084-4745 | 2013-01-23 |
| 1942593124 | Taisiya Tess Larina | Counselor | 1801 6th Avenue, Continuing Treatment Services, Troy, NY 12180-3440 | 2011-05-23 |
| 1598054587 | Janice Ann Mills | Counselor | 1385 Creech School Road, Troy, MO 63379 | 2011-03-31 |
| 1194966176 | Eileen C Becker | Counselor | 1059 N. Market Street, Troy, OH 45373-1337 | 2009-03-20 |
| 1720237662 | Emily Sigel | Counselor | 16 1st St., Troy, NY 12180-3802 | 2008-09-16 |
| 1760631154 | David A Lorenzo | Counselor | 16 1st St, Troy, NY 12180-3802 | 2008-09-10 |
| 1093803322 | Edward J Witte | Counselor | 315 Public Sq, 209, Troy, OH 45373-5202 | 2006-10-11 |
| Find all providers in TROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.