Healthcare Provider Details

I. General information

NPI: 1316853021
Provider Name (Legal Business Name): CHRISTOPHER MCDERMOTT LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MAIN ST
NORTHPORT NY
11768-1759
US

IV. Provider business mailing address

121 BERRY HILL RD BERRY HILL ROAD
OYSTER BAY NY
11771-3535
US

V. Phone/Fax

Practice location:
  • Phone: 516-647-0050
  • Fax:
Mailing address:
  • Phone: 516-647-0050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: