Mandi White-Ajmani Psychology PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MANDI WHITE-AJMANI PSYCHOLOGY PLLC

Practice address

68 35TH St Ste C-556
Brooklyn, NY 11232-2019

Phone

(617) 216-0149

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Taryn Boley

Title

Practice Manager

Phone

(619) 916-7278

Specialties & licenses 3

Addresses

Other names 1

• Small Brooklyn Psychology 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.

• Olga Gulyayeva Fuller, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1053036905
  NPD (past)

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1710692553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 35TH ST STE C-556",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322019",
            "telephone_number": "617-216-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 35TH ST STE C-556",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322019",
            "telephone_number": "617-216-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDI WHITE-AJMANI PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "BOLEY",
        "authorized_official_first_name": "TARYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "619-916-7278"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Brooklyn Psychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malka Mandell
• Joel M Mandelman, DPM
• Rachel Mandelman
• Samuel Dov Mandelman, PH.D.
• Viveka Mandhyan
• Ana Mandil, M.S., CCC-SLP
• David Mandil, DPM
• Joseph Mandil, DMD
• Nohum Mandil, PHARMD
• Mandisa Hall

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 17, 2023; 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.