Organization Active NPI

Myling Sumanti Psychology PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mineola, NY
National Provider Identifier
1902432073
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MYLING SUMANTI PSYCHOLOGY PC
Practice address
34 Willis Ave
Mineola, NY 11501-4406
Phone
(513) 368-3722
Fax
(888) 786-2684
NPI assigned
Mar 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Dr. Myling Sumanti, PHDNPI 1699873794
Title
President
Phone
(513) 368-3722

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

34 Willis Ave
Mineola, NY 11501-4406

Mailing address

34 Willis Ave
Mineola, NY 11501-4406
Phone (513) 368-3722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407001083 NY Part B Supplier - Clinic/Group Practice 5698104016 Receives reassigned benefits from 1 practitioner
Practice locations: Mineola, NY

National Provider Directory

National Provider Directory

Locations

34 Willis Ave
Mineola, NY 11501
Phone (888) 786-2684

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": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1902432073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014406",
            "telephone_number": "513-368-3722",
            "fax_number": "888-786-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WILLIS AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014406",
            "telephone_number": "513-368-3722",
            "fax_number": "888-786-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLING SUMANTI PSYCHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "SUMANTI",
        "authorized_official_first_name": "MYLING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-368-3722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.