Organization Active NPI

Nassau Psychology, P.C.

  • Psychologist
  • Lynbrook, NY
National Provider Identifier
1750763538
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020036 Issued in NY
Legal business name
NASSAU PSYCHOLOGY, P.C.
Practice address
777 Sunrise Hwy Ste 200
Lynbrook, NY 11563-2950
Phone
(516) 350-8564
NPI assigned
Jun 29, 2015
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Mary Burga
Title
Administrator
Phone
(516) 397-0288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 020036 NY Primary

Addresses

Primary practice location

777 Sunrise Hwy Ste 200
Lynbrook, NY 11563-2950

Mailing address

123 Grove Ave Ste 216
Cedarhurst, NY 11516-2302
Phone (516) 350-8564

Other practice location 1

165 N Village Ave Ste 132
Rockville Centre, NY 11570-3763
Phone (516) 350-8564

Other practice location 2

3375 Park Ave Ste 2005
Wantagh, NY 11793-3712
Phone (516) 350-8564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160926000792 NY Part B Supplier - Clinic/Group Practice 1951690254 Receives reassigned benefits from 41 practitioners
Practice locations: Cedarhurst, NY; Wantagh, NY

National Provider Directory

National Provider Directory

Locations

97 Cedarhurst Ave
Ste 3
Cedarhurst, NY 11516
Phone 5163508564718

165 N Village Ave
Ste 132
Rockville Ctr, NY 11570
Phone (516) 766-5851

3375 Park Ave
Ste 2005
Wantagh, NY 11793
Phone (516) 546-6021

Practitioners & affiliated clinicians

Practitioners 69

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1750763538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GROVE AVE STE 216",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162302",
            "telephone_number": "516-350-8564",
            "fax_number": "516-874-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SUNRISE HWY STE 200",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632950",
            "telephone_number": "516-350-8564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 N Village Ave Ste 132",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115703763",
            "country_code": "US",
            "telephone_number": "516-350-8564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3375 Park Ave Ste 2005",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117933712",
            "country_code": "US",
            "telephone_number": "516-350-8564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NASSAU PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "BURGA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-397-0288"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.