Individual provider Active NPI

Dawn Marie Manza, MSN, PMHP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1962981175
Registry record updated May 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402501 Issued in NY
Practice address
14 Walworth Ter
White Plains, NY 10606-2718
Phone
(718) 865-6987
Fax
(914) 241-5941
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402501 NY Primary

Addresses

Primary practice location

14 Walworth Ter
White Plains, NY 10606-2718

Mailing address

14 Walworth Ter
White Plains, NY 10606-2718
Phone (718) 865-6987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190327001550 NY Practitioner - Nurse Practitioner 2365782406 Reassigns benefits to 1 organization
I20251014002659 CT Practitioner - Nurse Practitioner 2365782406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 High Ridge Rd
Stamford, CT 06905-1225

14 Walworth Ter
White Plains, NY 10606-2718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
14473CTMDDentist
F402501NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orenda Psychiatry PLLC Psychiatric/Mental Health CurrentSince Sep 15, 2025 Accepting new patients

Locations

1506 Post Rd
Ste 2
Fairfield, CT 06824
Phone (203) 275-7559

100 Melrose Ave
Ste 101
Greenwich, CT 06830
Phone (203) 629-0202

49 Locust Ave
Ste 104
New Canaan, CT 06840
Phone (203) 301-8206

1200 High Ridge Rd
Stamford, CT 06905
Phone (203) 539-0845

205 Main St
Ste 1
Westport, CT 06880
Phone (203) 349-9605

75 Arlington St
Ste 500
Boston, MA 02116
Phone (617) 274-8734

110 Fieldcrest Ave
Ste 382
Edison, NJ 08837

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

80 5th Ave
Ste 90310
New York, NY 10011

618 Ave Jose Efron
Unit 649
Dorado, PR 00646

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748131200000",
    "number": "1962981175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WALWORTH TER",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106062718",
            "telephone_number": "718-865-6987",
            "fax_number": "914-241-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WALWORTH TER",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106062718",
            "telephone_number": "718-865-6987",
            "fax_number": "914-241-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZA",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, PMHP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.