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

Michelle Menezes

Individual provider Psychologist · NPI 1063872778

Michelle Menezes is a Clinical Psychologist in Stony Brook, New York. Qualified in 2023, 3 years ago. Registered with an NPI since 2016.

Years since qualifying
3
In the registry since
2016

Practice location Address checks out

1 St Univ Of Ny At Stony Brk
Stony Brook, NY 11794-0001
Phone: (631) 632-2428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1063872778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2016
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address1 St Univ Of Ny At Stony Brook, Stony Brook, NY 11794-0001

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Stony Brook