Jyoti Manchandani, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017596 Issued in NY

Practice address

37 White Cliff LN
Nesconset, NY 11767-1625

Phone

(631) 662-9049

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Manchandani Psychological Services, PLLC

  • Cognitive & Behavioral Psychologist
  • Centereach, NY
  • NPI 1861038903
  NPD Authorized official

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1811198625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WHITE CLIFF LN",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671625",
            "telephone_number": "631-662-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WHITE CLIFF LN",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671625",
            "telephone_number": "631-662-9049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 W 56th St Ste 1804",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193878",
            "country_code": "US",
            "telephone_number": "212-851-8100",
            "fax_number": "212-537-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCHANDANI",
        "first_name": "JYOTI",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "P52678",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yefim London, L.AC.
• Breanna Angela Lopez, DNP-FNP
• Lucky Ambulette Services
• Daniel Macari Jr., DDS
• Jamie Mackey, PT
• Augustus G Mantia, MD
• Marie Care NP in Adult Health P.C
• Helene Markowitz, PT
• Matthew Mattone, MS,APRN,BC-ANP
• Philip Vincent Mazzola, DDS

• Clinical Psychologist in Nesconset, NY
• Providers in Nesconset, 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 13, 2021; 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.