Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malcolm McCullough

Individual provider Clinical Psychologist · NPI 1689897027

Malcolm McCullough is a Clinical Psychologist in Malverne, New York. Qualified in 1984, 42 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
42
Licensed in
NY
In the registry since
2007

Practice location Address checks out

51 Lawrence Ave
Malverne, NY 11565-1406
Phone: (516) 456-1363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 008754-1 (NY)

Record details

NPI number1689897027
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 826, East Setauket, NY 11733-0636

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services