Organization Active NPI

Michelle M. Manasseri PSYD LLC

  • Clinical Psychologist
  • Newark, DE
National Provider Identifier
1295139251
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1-0001005 Issued in DE
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

Updated by the provider on Feb 13, 2015

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)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X PS017616 PA
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X B1-0001005 DE
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PS017616 PA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X B1-0001005 DE Primary
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X PS017616 PA
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.