Active NPI
Renee Exelbert, PHD
- Psychologist
- Manhasset, NY
National Provider Identifier
1821571746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 016582-1
- Practice address
- 444 Community Dr Ste 207
Manhasset, NY 11030-3820 - Phone
- (516) 313-1929
- NPI assigned
- Sep 7, 2018
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016582-1 | NY | Primary |
Addresses
Primary practice location
444 Community Dr Ste 207
Manhasset, NY 11030-3820
Mailing address
48 Burd St Ste 102
Nyack, NY 10960-3225
Phone (845) 353-1370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016582-1 | NY | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1821571746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 BURD ST STE 102",
"city": "NYACK",
"state": "NY",
"postal_code": "109603225",
"telephone_number": "845-353-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 COMMUNITY DR STE 207",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303820",
"telephone_number": "516-313-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXELBERT",
"first_name": "RENEE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016582-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.