Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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My Team: Psychology, Speech Language Pathology, and Occupational Thera

Organization Psychologist · NPI 1235904533

My Team: Psychology, Speech Language Pathology, and Occupational Thera is a Psychologist in Manhasset, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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Practice location Address checks out

444 Community Dr Ste 207
Manhasset, NY 11030-3820
Phone: (516) 405-0020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1235904533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Krochek — Member · (516) 405-0020
NPI enumeratedNovember 17, 2023
Last updated in NPPESNovember 17, 2023
Certification dateNovember 16, 2023
Mailing address444 Community Dr Ste 207, Manhasset, NY 11030-3820

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