Marc William Manseau, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

258596 Issued in NY

Practice address

356 W 18TH St
New York, NY 10011-4401

Phone

(347) 687-4704

NPI assigned

May 4, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: mmanseau679012@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Project Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1306898432
  Medicare reassignment NPD
• Community Health Project Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1700516135
  NPD
• Community Health Project Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
  • NPI 1972913473
  NPD
• Community Health Project Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1962040246
  NPD (past)

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1487888673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 DEVOE ST APT 3R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113806",
            "telephone_number": "401-524-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W 18TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114401",
            "telephone_number": "347-687-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSEAU",
        "first_name": "MARC",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NY",
            "license": "258596",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "258596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "258596-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Manrique, PSYD
• Richard Manrique, DO
• Walter Manrique
• Adama Mansaray
• Deborah Mansdorf
• Josephine Bianca Mansergh Johnson
• Christina Mansfield, LCSW
• Jordan Theresa Mansfield, DPT
• Jori Mansfield, MD
• Katherine Mansfield

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.