Active NPI
Jennifer Marie Newman, PH.D.
- Clinical Psychologist
- Manhasset, NY
National Provider Identifier
1639300452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017961
- Practice address
- 400 Community Dr
Department of Psychiatry
Manhasset, NY 11030-3815 - Phone
- (516) 562-3233
- Fax
- (516) 562-4786
- NPI assigned
- Jul 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017961 | NY | Primary |
Addresses
Primary practice location
400 Community Dr
Department of Psychiatry
Manhasset, NY 11030-3815
Mailing address
400 Community Dr
Department of Psychiatry
Manhasset, NY 11030-3815
Phone (516) 562-3233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 1, 2019 through Dec 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248739200000",
"number": "1639300452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COMMUNITY DR",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303815",
"telephone_number": "516-562-3233",
"fax_number": "516-562-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COMMUNITY DR",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303815",
"telephone_number": "516-562-3233",
"fax_number": "516-562-4786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhasset, NY
- New Dimensions Physical Therapy, PLLC
- New Millennium NP in Women's Health, PLLC (New Millennium NP, PLLC)
- New York Specialty Physicians, LLP
- Kayla Marie Newkirk, MSED, LP
- Allen I Newman, MD
- Kiva S Newton, LCSW-R
- Next Play Physical Therapy Performance, PLLC
- Amy NG
- Jia Hwei NG, M.D.
- Lay Queen NG, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.