MICHELLE M. MANASSERI PSYD LLC (NPI# 1295139251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295139251 |
| Entity Type | Organization |
| Organization Name | MICHELLE M. MANASSERI PSYD LLC |
| Practice Address |
910 S Chapel St Ste 201 Newark DE 19713-3467 |
| Mailing Address |
1125 Crestover Rd Wilmington DE 19803-3308 |
| Practice Telephone | 3022241400 |
| Mailing Telephone | 3023856228 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2015-02-13 |
| Authorized Official Name | MICHELLE MANASSERI (PSYCHOLOGIST) |
| Authorized Official Telephone | 3024781578 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | B1-0001005 | DE | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
B1-0001005 | DE | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | PS017616 | PA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS017616 | PA | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PS017616 | PA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
B1-0001005 | DE | Behavioral Health & Social Service Providers |
| Street Address |
910 S CHAPEL ST STE 201 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528162625 | Traci Bolander | Psychologist | 910 S Chapel St, Suite 102, Newark, DE 19713-3467 | 2006-09-11 |
| 1659918696 | Anneka R Dockery | Marriage & Family Therapist | 910 S Chapel St, Newark, DE 19713-3467 | 2019-12-10 |
| 1710480330 | Indeya Chavis | Counselor | 910 S Chapel St, Newark, DE 19713-3467 | 2018-03-09 |
| 1316397375 | Edith Porter | Counselor | 910 S Chapel St, 102, Newark, DE 19713-3467 | 2016-06-20 |
| 1669829768 | Elizabeth Browne | Counselor | 910 S Chapel St, Suite 102, Newark, DE 19713-3467 | 2016-05-18 |
| 1568827558 | Thomas L Olson | Psychologist | 910 S Chapel St, Suite # 102, Newark, DE 19713-3467 | 2015-12-18 |
| 1619371176 | Kristin David | Nurse Practitioner | 910 S Chapel St, Suite #102, Newark, DE 19713-3467 | 2014-10-13 |
| 1578905428 | Akeana N. C. Boyd-douglas | Psychologist | 910 S Chapel St, Newark, DE 19713-3467 | 2013-07-20 |
| 1114298791 | Michelle Manasseri | Clinical Neuropsychologist | 910 S Chapel St, Ste 102, Newark, DE 19713-3467 | 2012-01-13 |
| 1679877864 | Kathleen F. Hupp | Social Worker | 910 S Chapel St, Suite 102, Newark, DE 19713-3467 | 2011-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047746 | Center for Grief Therapy and Education, P.a. | Psychologist | 300 Creek View Rd Ste 101a, Newark, DE 19711-8547 | 2019-11-15 |
| 1467097113 | Creekview Psychological Assessment Center, Pa | Psychologist | 300 Creek View Rd Ste 101b, Newark, DE 19711-8547 | 2019-11-15 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1235654088 | American International Clinical Enterprise | Psychologist | 50 Norfolk St, Newark, NJ 07103-3228 | 2017-08-12 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1467857334 | Kendra Koehler | Psychologist | Christiana Care Health System 4755 Rd, Suite 1070, Newark, DE 19718-0001 | 2014-11-04 |
| 1265834493 | Charlotte Selig | Psychologist | 19 Newland Ct, Newark, DE 19713-2815 | 2014-09-18 |
| 1558617423 | Justin Robert Misurell | Psychologist | 185 Washington St, Metro Rdtc, Newark, NJ 07102-3011 | 2012-07-30 |
| 1295025146 | Rosemary Szczechowski | Psychologist | 14 Willow Creek Ln, Newark, DE 19711-3422 | 2011-04-12 |
| 1982902722 | Sally Ramsden Barker | Psychologist | J-25 Omega Drive, Newark, DE 19713-0000 | 2011-03-03 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.