DR. MANA SAMGHABADI (NPI# 1770944407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770944407 |
| Entity Type | Individual |
| Full Name | DR. MANA SAMGHABADI |
| Credential | PSYD |
| Practice Address |
411 W 114th St New York NY 10025-1710 |
| Mailing Address |
2817 35th St Apt 3 Astoria NY 11103-4655 |
| Practice Telephone | 2125235578 |
| Mailing Telephone | 5165514975 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
021431 | NY | Behavioral Health & Social Service Providers |
| Street Address |
411 W 114TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720013808 | John J Dilallo | Psychiatry & Neurology | 411 W 114th St, 2nd Floor, New York, NY 10025-1710 | 2006-07-11 |
| 1447732615 | Kristen Courtney | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2018-09-04 |
| 1912499294 | Margaret Rauen | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2018-06-03 |
| 1285151787 | Michael Reding | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2017-08-25 |
| 1144694563 | Andrew Shand | Social Worker | 411 W 114th St, New York, NY 10025-1710 | 2015-11-23 |
| 1205232980 | Alex Movahed | Social Worker | 411 W 114th St, New York, NY 10025-1710 | 2014-11-07 |
| 1497151229 | Zoe Reyes | Social Worker | 411 W 114th St, 3rd Floor, New York, NY 10025-1710 | 2014-11-05 |
| 1104232156 | Nadia Zein Hidayatallah | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2014-07-09 |
| 1174943781 | Jessica Brodsky Macklin | Psychologist | 411 W 114th St, New York, NY 10025-1710 | 2014-04-22 |
| 1821417437 | Gina Moffa | Social Worker | 411 W 114th St, Suite 417, New York, NY 10025-1710 | 2014-04-10 |
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| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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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.