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

Individual provider Clinical Psychologist · NPI 1548258817

Dr. Dina Vivian, PHD is a Clinical Psychologist in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005
Specialties on file
2
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

1239 Route 25A Ste 6A
Stony Brook, NY 11790-1934
Phone: (631) 689-3483
Fax: (631) 584-5261
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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 009593 (NY)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 009593 (NY)

Record details

NPI number1548258817
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 11, 2005
Last updated in NPPESNovember 28, 2011

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