Active NPI
Michele Bridgett Price, PHD
- Clinical Psychologist
- Lynbrook, NY
National Provider Identifier
1740026343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012751-1
- Practice address
- 365 Sunrise Hwy
Lynbrook, NY 11563-3027 - Phone
- (631) 807-9619
- NPI assigned
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 012751-1 | NY | Primary |
Addresses
Primary practice location
365 Sunrise Hwy
Lynbrook, NY 11563-3027
Mailing address
3 Skyview LN
Stony Brook, NY 11790-1817
Phone (631) 807-9619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012751-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1740026343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SKYVIEW LN",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117901817",
"telephone_number": "631-807-9619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 SUNRISE HWY",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633027",
"telephone_number": "631-807-9619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "MICHELE",
"middle_name": "BRIDGETT",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012751-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynbrook, NY
- Richard Francis Porcelli, D.D.S.
- Bianca Posa
- Dina Prato
- Premier Holdings Management Inc (Glory Medical Supply)
- Premier Management Holdings, LLC (Glory Medical Supply)
- Priority Pediatrics, PLLC
- Prohealth Dental PLLC
- Chyanne Alexis Pruno
- Pulmonary & Critical Care Consultants, P.C.
- Puremed Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.