Active NPIIndividual providerSole proprietor

Thomas R Macdougall, MSED, NCSP

Specialist in Staten Island, New York

NPI Number1518396886
Practice location
329 Norway Ave, Staten Island, NY 10305-3524
Fax
—
Last updated
November 6, 2013

Thomas Richard Macdougall is a Specialist based in Staten Island, NY. Thomas Richard Macdougall practices in Staten Island, NY and has the professional credentials of MSED, NCSP. The NPI Number for Thomas Richard Macdougall is 1518396886 and holds a License No. 2549431 (NY). The current practice location address for Thomas Richard Macdougall is 329 Norway Ave, Staten Island, NY 10305-3524 and can be reached out via phone at 718-987-9400.

Provider Profile Details

NPI Number
1518396886
Provider Name
Thomas Richard Macdougall
Credential
MSED, NCSP
Provider Entity Type
Individual
Gender
Male
Address
329 Norway Ave, Staten Island, NY 10305-3524
Phone Number
718-987-9400
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2013
Last Update Date
November 6, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
329 Norway Ave
Staten Island, NY 10305-3524
Zip
10305-3524
Phone Number
718-987-9400
Staten Island, NY 10305Get directions →

Provider Business Mailing Address Details

Address
776 Eves Dr Apt 5C
Hillsborough, NJ 08844-4968
City
Hillsborough
State
NJ
Zip
08844-4968
Phone Number
631-252-5129

License Information

License Number
2549431
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Specialists near Staten Island, NY

View all Specialists in Staten Island →

Frequently Asked Questions

What is the NPI number of Thomas R Macdougall, MSED, NCSP?

The NPI number of Thomas R Macdougall, MSED, NCSP is 1518396886. It was assigned on November 6, 2013 and is currently active in the NPPES registry.

What is the specialty of Thomas R Macdougall, MSED, NCSP?

Thomas R Macdougall, MSED, NCSP is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 2549431.

Where does Thomas R Macdougall, MSED, NCSP practice?

The practice location is 329 Norway Ave, Staten Island, NY 10305-3524. The office can be reached at 718-987-9400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518396886 directly on the NPPES registry website.

Browse related providers