Nehal P Vadhan, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

016752 Issued in NY

Practice address

11 Grace Ave Ste 204
Great Neck, NY 11021-2417

Phone

(917) 371-3888

NPI assigned

Jul 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1154677151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GRACE AVE STE 204",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212417",
            "telephone_number": "917-371-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GRACE AVE STE 204",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212417",
            "telephone_number": "917-371-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADHAN",
        "first_name": "NEHAL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "016752",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "016752",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "016752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Jay Unger, LCSW
• Nupur Uppal
• Thomas Jose Urena III
• Debra B Uribe, M.S.CCC/S.L.P
• Renee E Vaccaro, DPT
• Marjan M Vahidipor, RPH
• Ageliki S. Valsamis, D.O.
• Meghan Van Dina, L.AC.
• Tara Marie Vanderburg, PA-C
• Douglas Vanella

• Cognitive & Behavioral Psychologist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.