Active NPI
Michelle Brody, PH.D.
- Clinical Psychologist
- White Plains, NY
National Provider Identifier
1154663631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 015681
- Practice address
- 23 Old Mamaroneck Rd
White Plains, NY 10605-2061 - Phone
- (914) 707-0729
- NPI assigned
- Mar 21, 2013
- Last updated
- Dec 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 015681 | NY | Primary |
Addresses
Primary practice location
23 Old Mamaroneck Rd
White Plains, NY 10605-2061
Mailing address
77 Soundview Ave
White Plains, NY 10606-3419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015681 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1154663631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 SOUNDVIEW AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106063419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 OLD MAMARONECK RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106052061",
"telephone_number": "914-707-0729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODY",
"first_name": "MICHELLE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "015681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.