Mary Atala, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

026411 Issued in NY

Practice address

2001 Marcus Ave Ste E128
New Hyde Park, NY 11042-1000

Phone

(516) 390-3525

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Cognitive and Dialectical Behavior Therapy

  • Clinical Psychologist
  • New Hyde Park, NY
  • NPI 1013131465
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1033962840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE E128",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421000",
            "telephone_number": "516-390-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE E128",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421000",
            "telephone_number": "516-390-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATALA",
        "first_name": "MARY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ashmawi, NP
• Manzar Ashtari, PHD
• Toni Aspinall-Daley, MD
• Nadege Assassi, MD
• Yaritzy Michelle Astudillo, MD, MS
• Atc Healthcare
• Ramon Melo Atienza, P.T.
• Gemma Mary Atlagh, RN
• Mark Atlas, MD
• Kelly Atwell Greenwood

• Clinical Psychologist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.