Active NPI
Vincent A Minniti, PH.D
- Cognitive & Behavioral Psychologist
- New York, NY
National Provider Identifier
1609993047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Practice address
- 17 E 96TH St Ste 2
New York, NY 10128-0783 - Phone
- (908) 399-0806
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00329700 | NJ | |
| Counseling Psychologist | 103TC1900X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary | ||
| Mental Health Counselor | 101YM0800X | 000104 | NY | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12979 | NY |
Addresses
Primary practice location
17 E 96TH St Ste 2
New York, NY 10128-0783
Mailing address
1641 Chatfield PL
Orlando, FL 32814-6625
Phone (908) 399-0806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12979 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 000104 | NY | MD | Mental Health Counselor |
| 37PC00329700 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1609993047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1641 CHATFIELD PL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146625",
"telephone_number": "908-399-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 E 96TH ST STE 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101280783",
"telephone_number": "908-399-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNITI",
"first_name": "VINCENT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00329700",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000104",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "12979",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.