Individual provider Active NPI

Manal Ghanim

  • Mental Health Counselor
  • Staten Island, NY
National Provider Identifier
1437963667
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923
Phone
(718) 698-1300
Fax
(917) 677-6801
NPI assigned
Feb 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923

Mailing address

1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923
Phone (718) 698-1300

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1437963667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 RICHMOND AVE STE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143923",
            "telephone_number": "718-698-1300",
            "fax_number": "917-677-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 RICHMOND AVE STE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143923",
            "telephone_number": "718-698-1300",
            "fax_number": "917-677-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANIM",
        "first_name": "MANAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.