Individual provider Active NPI

Michele A Morganstern, PH.D.

  • Clinical Psychologist
  • Smithtown, NY
National Provider Identifier
1245407519
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017615 Issued in NY
Practice address
994 W Jericho Tpke
Suite 202
Smithtown, NY 11787-3235
Phone
(631) 786-8129
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017615 NY Primary

Addresses

Primary practice location

994 W Jericho Tpke
Suite 202
Smithtown, NY 11787-3235

Mailing address

994 W Jericho Tpke
Suite 202
Smithtown, NY 11787-3235
Phone (631) 786-8129

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1245407519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE",
            "address_2": "SUITE 202",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873235",
            "telephone_number": "631-786-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE",
            "address_2": "SUITE 202",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873235",
            "telephone_number": "631-786-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGANSTERN",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.