My Team: Psychology, Speech Language Pathology, and Occupational Thera

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MY TEAM: PSYCHOLOGY, SPEECH LANGUAGE PATHOLOGY, AND OCCUPATIONAL THERA

Practice address

444 Community Dr Ste 207
Manhasset, NY 11030-3820

Phone

(516) 405-0020

NPI assigned

Nov 17, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Renee Krochek, PSYDNPI 1730509373

Title

Member

Phone

(516) 405-0020

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Krochek, PSYD

  • Psychologist
  • New York, NY
  • NPI 1730509373
  NPD Authorized official

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1235904533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR STE 207",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303820",
            "telephone_number": "516-405-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR STE 207",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303820",
            "telephone_number": "516-405-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TEAM: PSYCHOLOGY, SPEECH LANGUAGE PATHOLOGY, AND OCCUPATIONAL THERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "KROCHEK",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-405-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Murray, CRNA
• Shamanth Murundi, MD
• Jacob Musinsky, MD
• Evan Gregoire Mutombo, RBT
• Patrick Muzzonigro, PA-C
• My Way Mobile Wellness LLC
• Peter Aung Mynn, MD
• Inessa V Mysak, DO
• Tasnima Nabi, PHARMD
• Richard J. Nadan, MBA, NP

• Psychologist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.