Manhattan Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

010163-1 Issued in NY

Legal business name

MANHATTAN PSYCHOLOGICAL SERVICES

Doing business as

Mental Health Resource Group

Practice address

104 E 40TH St
Suite 906
New York, NY 10016-1801

Phone

(212) 942-8532

Fax

(646) 349-4126

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth N. Brondolo, PH.D.NPI 1649644337

Title

Sole Proprietor

Phone

(212) 942-8532

Specialties & licenses 1

Addresses

Other names 1

• Mental Health Resource Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Brondolo, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1649644337
  NPD (past) Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1659580785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 MADISON AVE",
            "address_2": "SUITE 1500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160701",
            "telephone_number": "212-942-8532",
            "fax_number": "646-349-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 40TH ST",
            "address_2": "SUITE 906",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161801",
            "telephone_number": "212-942-8532",
            "fax_number": "646-349-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "BRONDOLO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "212-942-8532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Health Resource Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manhattan Psychiatric Center
• Manhattan Psychiatric Center
• Manhattan Psychiatric Service PLLC
• Manhattan Psychiatry Group PLLC
• Manhattan Psychological Associate, P.C.
• Manhattan Psychology Associates, PLLC
• Manhattan Psychology Associates, PLLC
• Manhattan Psychology Group, PC
• Manhattan Psychology Group, PC
• Manhattan Psychology Group, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.