Active NPI
Manchandani Psychological Services, PLLC
- Cognitive & Behavioral Psychologist
- Centereach, NY
National Provider Identifier
1861038903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Legal business name
- MANCHANDANI PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 1919 Middle Country Rd Ste 308
Centereach, NY 11720-3501 - Phone
- (631) 662-9049
- NPI assigned
- Nov 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jyoti Suchdev Manchandani, PSY.D
- Title
- Psychologist
- Phone
- (631) 662-9049
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary |
Addresses
Primary practice location
1919 Middle Country Rd Ste 308
Centereach, NY 11720-3501
Mailing address
37 White Cliff LN
Nesconset, NY 11767-1625
Phone (631) 662-9049
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Nesconset, NY
- NPI 1811198625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574640000000",
"number": "1861038903",
"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": "1919 MIDDLE COUNTRY RD STE 308",
"city": "CENTEREACH",
"state": "NY",
"postal_code": "117203501",
"telephone_number": "631-662-9049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANCHANDANI PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A",
"authorized_official_last_name": "MANCHANDANI",
"authorized_official_first_name": "JYOTI",
"authorized_official_middle_name": "SUCHDEV",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "631-662-9049",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centereach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.