Individual provider Active NPI

Deborah Jill Mann, PSY.D.

  • School Psychologist
  • Lynbrook, NY
National Provider Identifier
1912212440
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
020535 Issued in NY
Practice address
111 Atlantic Ave
Lynbrook, NY 11563-3476
Phone
(516) 612-5436
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 020535 NY Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 020535 NY

Addresses

Primary practice location

111 Atlantic Ave
Lynbrook, NY 11563-3476

Mailing address

111 Atlantic Ave
Lynbrook, NY 11563-3476
Phone (516) 612-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819001338 NY Practitioner - Clinical Psychologist 0941748263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MN Psychological Services PLLCGroup PAC ID 5294070165, 2 clinicians

Practice addresses (Care Compare)

2255 Cropsey Ave
Brooklyn, NY 11214-5705
Phone (718) 266-5858

820 Front St
Hempstead, NY 11550-4627
Phone (516) 564-1100

9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693-1317
Phone (718) 945-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020535NYMDIntellectual & Developmental Disabilities Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MN Psychological Services PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

5705 Foster Ave
Brooklyn, NY 11234
Phone (646) 457-4800

820 Front St
Hempstead, NY 11550
Phone (516) 564-1100

9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 474-2478

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1912212440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ATLANTIC AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633476",
            "telephone_number": "516-612-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ATLANTIC AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633476",
            "telephone_number": "516-612-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "DEBORAH",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "020535",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NY",
            "license": "020535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.