Organization Active NPI

Manchandani Psychological Services, PLLC

  • Cognitive & Behavioral Psychologist
  • Centereach, NY
National Provider Identifier
1861038903
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
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

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Dr. Jyoti Suchdev Manchandani, PSY.DNPI 1811198625
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)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.