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

MS. Julie Manis, RN, GNP, PMHNP

Individual provider Gerontology Nurse Practitioner · NPI 1164672564

MS. Julie Manis, RN, GNP, PMHNP is a Nurse Practitioner in Lake Grove, 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
2008
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

2780 Middle Country Rd Ste 306
Lake Grove, NY 11755-2124
Phone: (631) 981-8300
Fax: (631) 981-8400
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F401230 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 340114 (NY)

Record details

NPI number1164672564
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , GNP , PMHNP
Sole proprietorYes
NPI enumeratedSeptember 23, 2008
Last updated in NPPESOctober 2, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services