John Basil Manly, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018489 Issued in NY

Practice address

500 Helendale Rd Ste 186
Rochester, NY 14609-3167

Phone

(585) 298-9588

Fax

(585) 629-5155

NPI assigned

Sep 7, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1558678987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD STE 186",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093167",
            "telephone_number": "585-298-9588",
            "fax_number": "585-629-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD STE 186",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093167",
            "telephone_number": "585-298-9588",
            "fax_number": "585-629-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLY",
        "first_name": "JOHN",
        "middle_name": "BASIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Manley
• Malika Joenell Manley, LPN
• Paul Joseph Manley, RPA-C
• Robin Manley
• Jody Todd Manly, PH.D.
• Carrie Mann, CRNA
• Joseph Ira Mann, M.D.
• Abdul Mannan, DO
• Melissa Mannara
• Kathleen Anne Mannava, M.D.

• Clinical Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.