Dominique Morisano, PH.D., CPSYCH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018327 Issued in NY

Practice address

1090 Amsterdam Ave
Suite 17TH Floor (South)
New York, NY 10025-1737

Phone

(212) 523-2596

Fax

(212) 523-3642

NPI assigned

Oct 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1154656098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 5TH AVE # 2275",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182794",
            "telephone_number": "855-649-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 AMSTERDAM AVE",
            "address_2": "SUITE 17TH FLOOR (SOUTH)",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251737",
            "telephone_number": "212-523-2596",
            "fax_number": "212-523-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISANO",
        "first_name": "DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "PH.D., CPSYCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018327",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvie Moriniaux, M.D.
• Kanako Morino-Mirenda
• Emma Victoria Morino
• Kaitlyn Morio, MD
• Morisa Schiff Mayer MD PC (Morisa Schiff Mayer MD)
• Jacqueline Joanna Morisco, MS, CCC-SLP
• Jody Shigeo Morita, MD
• Sae Morita, MD
• Megumi Moritoki, LMHC, CASAC
• Esther Moritz, LAT, ATC, EMT

• Clinical Psychologist in New York, NY
• Providers in New York, 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 16, 2023; 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.