Individual
DR. JOHN T MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1087 FRANKLIN AVE, VALLEY STREAM, NY 11580-2109
(516) 823-0023
(516) 823-3373
Mailing address
1087 FRANKLIN AVE, VALLEY STREAM, NY 11580-2109
(516) 823-0023
(516) 823-3373
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
015944
NY
103TC0700X
Clinical Psychologist
015944
NY
103TF0200X
Forensic Psychologist
Primary
015944
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01594468
HEALTH INSURANCE PLAN
—
05
—
02590870
—
NY
01
—
525632
VALUE OPTIONS
—
01
—
7345855
GROUP HEALTH INC.
—
01
—
79106400
AETNA
—
01
—
JM0V750L10
BLUE CROSS BLUE SHIELD
—
01
—
S15944-2B
WORKERS COMPENSATION
NY
Enumeration date
02/01/2007
Last updated
09/11/2025
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