Individual provider Active NPI

Cindy Menell, PH.D.

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1477592160
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011073 Issued in NY
Practice address
185 Terrace PL
Brooklyn, NY 11218-1214
Phone
(718) 499-2494
Fax
(718) 499-2494
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011073 NY Primary

Addresses

Primary practice location

185 Terrace PL
Brooklyn, NY 11218-1214

Mailing address

464 16TH St
Brooklyn, NY 11215-5911
Phone (718) 499-2494

Other identifiers 1

IdentifierTypeStateIssuer
01715782MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100310000541 NY Practitioner - Clinical Psychologist 5597800995 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Brooklyn, NY 11215
Phone (718) 499-2494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
011073NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1477592160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 16TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155911",
            "telephone_number": "718-499-2494",
            "fax_number": "718-499-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TERRACE PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181214",
            "telephone_number": "718-499-2494",
            "fax_number": "718-499-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENELL",
        "first_name": "CINDY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01715782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.