Healthcare Provider Details

I. General information

NPI: 1003952110
Provider Name (Legal Business Name): COPE PSYCHOLOGICAL COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1087 FRANKLIN AVE
VALLEY STREAM NY
11580-2109
US

IV. Provider business mailing address

1087 FRANKLIN AVE
VALLEY STREAM NY
11580-2109
US

V. Phone/Fax

Practice location:
  • Phone: 516-823-0023
  • Fax:
Mailing address:
  • Phone: 516-823-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number015944
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number015944
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number015944
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number015944
License Number StateNY

VIII. Authorized Official

Name: DR. JOHN MCCANN
Title or Position: OWNER
Credential: PHD
Phone: 516-823-0023