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

Individual provider Clinical Psychologist · NPI 1023026754

Dr. Mansour (Max) Banilivy, PHD is a Clinical Psychologist in Merrick, New York. Practices as a sole proprietor. Licensed in New York.

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

2615 Merrick Ave
Merrick, NY 11566-4622
Phone: (516) 627-9432
Fax: (516) 867-0013
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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 007526 (NY)

Record details

NPI number1023026754
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2007

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