Luis Manzo, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016307 Issued in NY

Practice address

104 E 40TH St
Suite 406
New York, NY 10016-1801

Phone

(347) 534-8798

NPI assigned

Dec 1, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1669700720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151602",
            "telephone_number": "347-534-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 40TH ST",
            "address_2": "SUITE 406",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161801",
            "telephone_number": "347-534-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "LUIS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016307",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "016307",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "016307",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NY",
            "license": "016307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiane P Manzella PH.D,, PH.D.
• Alexander James Manzella, MD MPH
• Alberto Manzi, LMHC
• Joseph Emanuele Manzi, MD
• Richard Manzi, M.D.
• Sabrina C Manzo, LMSW
• Manzon Physical Therapy
• Gabriel John Manzon, M.P.T.
• Leena Mahmooda Manzoor
• Jazmyn Manzouri, RPA-C

• 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 Dec 1, 2009; 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.