Comprehensive Psychological Services of Long Island, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018719-1 Issued in NY

Legal business name

COMPREHENSIVE PSYCHOLOGICAL SERVICES OF LONG ISLAND, P.C.

Doing business as

Cognitive Behavior Therapy and Wellness Center

Practice address

303 Merrick Rd
Suite 302
Lynbrook, NY 11563-2501

Phone

(516) 382-4567

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tara Mandel, PHD

Title

Owner, Psychologist

Phone

(516) 238-0085

Specialties & licenses 1

Addresses

Other names 1

• Cognitive Behavior Therapy and Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1144677469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MERRICK RD.",
            "address_2": "SUITE 302",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "11563",
            "telephone_number": "516-382-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MERRICK RD",
            "address_2": "SUITE 302",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632501",
            "telephone_number": "516-382-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PSYCHOLOGICAL SERVICES OF LONG ISLAND, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER, PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-238-0085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018719-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cognitive Behavior Therapy and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan R. Cohen, PH.D, RN, CS
• Coletta Medical Services, PLLC.
• Comprehensive Clinical Counseling, LCSW, P,C,
• Comprehensive Group Services 2000 LLC
• Comprehensive Medical Services New York 2008, PLLC
• Gail Compton, MA, LMHC, CASAC
• Barbara Confident, LPN
• Annmarie Connell, RN
• Laura Katherine Corcoran, PMHNP
• Corey a Stein DC PC

• Clinical Psychologist in Lynbrook, NY
• Providers in Lynbrook, 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 May 17, 2016; 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.