Provider Demographics
NPI:1609994110
Name:MAGITO MCLAUGHLIN, DARLENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:MAGITO MCLAUGHLIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 FORT SALONGA RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3046
Mailing Address - Country:US
Mailing Address - Phone:631-262-8561
Mailing Address - Fax:631-261-6052
Practice Address - Street 1:410 FORT SALONGA RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3046
Practice Address - Country:US
Practice Address - Phone:631-262-8561
Practice Address - Fax:631-261-6052
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0144981103TM1800X
NY000521103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02179211Medicare UPIN