Julie Manis Psychiatric NP PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

401230 Issued in NY

Legal business name

JULIE MANIS PSYCHIATRIC NP PLLC

Practice address

4250 Sunrise Hwy
Suite 103
Massapequa, NY 11758-5338

Phone

(516) 331-1370

NPI assigned

Oct 10, 2015

Organization subpart

No

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

Authorized official

Name

Julie Manis, NPNPI 1164672564

Title

Owner

Phone

(516) 331-1370

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Julie Manis, R.N., GNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Grove, NY
  • NPI 1164672564
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1444435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444435200000",
    "number": "1962873463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 PHILLIP CT",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104931",
            "telephone_number": "516-331-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 SUNRISE HWY",
            "address_2": "SUITE 103",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585338",
            "telephone_number": "516-331-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE MANIS PSYCHIATRIC NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-10",
        "last_updated": "2015-10-10",
        "status": "A",
        "authorized_official_last_name": "MANIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-331-1370",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "401230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nephtalie Sandra Kafkara Joseph
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• Amy Juliano
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• Richard William Kaden, D.D.S.
• Frederic Kalenscher, M.D.,F.A.A.P.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2015; 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.