Active NPI
Michelle M. Manasseri PSYD LLC
- Clinical Psychologist
- Newark, DE
National Provider Identifier
1295139251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- B1-0001005
- Legal business name
- MICHELLE M. MANASSERI PSYD LLC
- Practice address
- 910 S Chapel St
Ste 201
Newark, DE 19713-3467 - Phone
- (302) 224-1400
- NPI assigned
- Oct 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Manasseri, PSY.D.
- Title
- Psychologist
- Phone
- (302) 478-1578
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS017616 | PA | |
| Clinical Neuropsychologist | 103G00000X | B1-0001005 | DE | |
| Clinical Psychologist | 103TC0700X | PS017616 | PA | |
| Clinical Psychologist | 103TC0700X | B1-0001005 | DE | Primary |
| Rehabilitation Psychologist | 103TR0400X | PS017616 | PA | |
| Rehabilitation Psychologist | 103TR0400X | B1-0001005 | DE |
Addresses
Primary practice location
910 S Chapel St
Ste 201
Newark, DE 19713-3467
Mailing address
1125 Crestover Rd
Wilmington, DE 19803-3308
Phone (302) 385-6228
National Provider Directory
National Provider DirectoryLocations
910 S Chapel St
Ste 201
Newark, DE 19713
2173 Embassy Dr
#366
Lancaster, PA 17603
Phone (717) 392-6061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Lancaster, PA
- NPI 1518059575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423785600000",
"number": "1295139251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 CRESTOVER RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033308",
"telephone_number": "302-385-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 S CHAPEL ST",
"address_2": "STE 201",
"city": "NEWARK",
"state": "DE",
"postal_code": "197133467",
"telephone_number": "302-224-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE M. MANASSERI PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-20",
"last_updated": "2015-02-13",
"status": "A",
"authorized_official_last_name": "MANASSERI",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "302-478-1578",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "PA",
"license": "PS017616",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "DE",
"license": "B1-0001005",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017616",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "DE",
"license": "B1-0001005",
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": "PA",
"license": "PS017616",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": "DE",
"license": "B1-0001005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.