Individual provider Active NPI

Danielle Phelan, PSY.D.

  • Psychoanalysis Psychologist
  • Manhasset, NY
National Provider Identifier
1073686382
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychoanalysis PsychologistTaxonomy code 103TP0814X
License
15311 Issued in NY
Practice address
333 E Shore Rd
Suite 206
Manhasset, NY 11030-2900
Phone
(516) 510-6980
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalysis Psychologist 103TP0814X 15311 NY Primary

Addresses

Primary practice location

333 E Shore Rd
Suite 206
Manhasset, NY 11030-2900

Mailing address

333 E Shore Rd
Suite 206
Manhasset, NY 11030-2900
Phone (516) 510-6980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000226 NY Practitioner - Clinical Psychologist 6305815747 Practice locations: Manhasset, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Clarendon St
Dix Hills, NY 11746-6930

333 E Shore Rd
Suite 206
Manhasset, NY 11030-2900
Phone (516) 482-3656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
15311NYMDPsychoanalysis Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mashadi Bikkur Cholim, Inc PastSince Jul 21, 2024 Accepting new patients
R.G. Psychological Services, P.C. Psychoanalysis Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1073686382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E SHORE RD",
            "address_2": "SUITE 206",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302900",
            "telephone_number": "516-510-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E SHORE RD",
            "address_2": "SUITE 206",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302900",
            "telephone_number": "516-510-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "15311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.