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

MS. Violet Ann Mandracchia, MACEASLCSW

Individual provider Psychologist · NPI 1104979079

MS. Violet Ann Mandracchia, MACEASLCSW is a Psychologist in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

15 Shore Oaks Dr
Stony Brook, NY 11790
Phone: (212) 979-5650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LR042082 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence LR042082 (NY)

Record details

NPI number1104979079
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACEASLCSW
Sole proprietorNo
NPI enumeratedJanuary 22, 2007
Last updated in NPPESSeptember 11, 2025

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