Dr. Michael Leonard Nissenbaum, PHD
Dr. Michael Leonard Nissenbaum, PHD is a Clinical Psychologist in Centereach, New York. Qualified in 1988, 38 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 38
- 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.
Practice location Address checks out
2100 Middle Country Rd Ste 28WCentereach, NY 11720-3577
Phone: (631) 737-9500
Fax: (631) 737-9512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cognitive & Behavioral Psychologist (primary) | Taxonomy 103TB0200X · Licence 010232 (NY) |
|---|
Record details
| NPI number | 1174546725 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHD |
| Sole proprietor | Yes |
| NPI enumerated | July 25, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1988 (38 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Centereach
-
Dr. Anthony J Anzalone, PSYD
1919 Middle Country Rd, Centereach, NY 11720-5601 · (631) 209-5343
-
Manchandani Psychological Services, PLLC
1919 Middle Country Rd Ste 308, Centereach, NY 11720-3501 · (631) 662-9049