Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel J Coletti, PHD

Individual provider Clinical Psychologist · NPI 1053406769

Dr. Daniel J Coletti, PHD is a Clinical Psychologist in Great Neck, New York. Graduated from Vanderbilt University School of Medicine in 1997, 29 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Trained at
Vanderbilt University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

865 Northern Blvd Ste 102 Northwell Division OF General Internal Medicine
Great Neck, NY 11021
Phone: (516) 622-5035
Fax: (516) 622-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 013476 (NY)

Record details

NPI number1053406769
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESSeptember 23, 2016
Mailing address865 Northern Blvd, Suite 102, Northwell Division Of General Internal Medicine, Great Neck, NY 11021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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