NPIMap

Organization Active NPI

Forensic Psychology PC

  • Counseling Psychologist
  • Manhasset, NY
National Provider Identifier
1407092851
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
006325 Issued in NY
Legal business name
FORENSIC PSYCHOLOGY PC
Practice address
75 Plandome Rd
2ND Floor
Manhasset, NY 11030-2301
Phone
(516) 304-5700
Fax
(516) 304-5702
NPI assigned
Jan 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Marc A Janoson, PH.D.
Title
President
Phone
(516) 304-5700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X 006325 NY
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 006325 NY
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 006325 NY Primary
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X 006325 NY

Addresses

Primary practice location

75 Plandome Rd
2ND Floor
Manhasset, NY 11030-2301

Mailing address

75 Plandome Rd
2ND Floor
Manhasset, NY 11030-2301
Phone (516) 304-5700

Other identifiers 1

IdentifierTypeStateIssuer
006325OtherNYLICENSED PSYCHOLOGIST

National Provider Directory

National Provider Directory

Locations

75 Plandome Rd
#2
Manhasset, NY 11030

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1407092851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PLANDOME RD",
            "address_2": "2ND FLOOR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302301",
            "telephone_number": "516-304-5700",
            "fax_number": "516-304-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PLANDOME RD",
            "address_2": "2ND FLOOR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302301",
            "telephone_number": "516-304-5700",
            "fax_number": "516-304-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC PSYCHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "JANOSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-304-5700",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "006325",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006325",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "006325",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "006325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "006325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.