NPPES file of Aug 9, 2026

Michael Leonard Nissenbaum, PH.D.

Cognitive & Behavioral Psychologist · Centereach, NY

Michael Leonard Nissenbaum, PH.D. is a cognitive & behavioral psychologist with a practice address in Centereach, New York, and NPI 1174546725, issued on Jul 25, 2006. Check the license (New York 010232, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1174546725
Name
Michael Leonard Nissenbaum
Credential
PH.D.
Primary taxonomy
Cognitive & Behavioral Psychologist 103TB0200X
License number
010232 NY
Self-reported in NPPES; status is on the state search
Practice location
2100 Middle Country RD, Centereach, NY 11720
Phone
(631) 737-9500
Enumerated
Jul 25, 2006
Record last updated
Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
Fax
(631) 737-9512
Medicare enrollment
Enrolled (PECOS I20031121000443); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2100 Middle Country RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

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  2. Nicholas Demarco, PT, DPTPhysical Therapist1497266951
  3. Gregg Diprima, P.T.Physical Therapist1295778322
  4. Matt Esrick, PT, DPT,MBA,A-RSPPhysical Therapist1811430788
  5. Elaine Feldman, MS PTPhysical Therapist1740045863
  6. Jacqueline Mockler, DPTPhysical Therapist1366922304

Verify Michael Leonard Nissenbaum in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 010232
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Michael Leonard Nissenbaum among 224 cognitive & behavioral psychologist records in New York

Michael Leonard Nissenbaum, PH.D. is one of 224 cognitive & behavioral psychologist records with a practice address in New York. 4% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 2% of them.

  • NPI issued2006 · 2% of these records are older, 89% newer
  • In a Medicare fileNo · 4% of these records are
  • In the CMS Doctors and Clinicians fileYes · 10% of these records are
  • Graduated1988 · median 1993 among the 22 with a school on file
  • Record last updated2007 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TB0200X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cognitive & Behavioral Psychologist providers in New York

There are 224 cognitive & behavioral psychologist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 cognitive & behavioral psychologist records with the nearest ZIP codes

  1. Anthony Anzalone, PSY.D.Centereach, NY 117201124346689
  2. Barbara Carey-Shaw, PH.D.Brookhaven, NY 117191396166609
  3. Mickaella Moreta, PHDBohemia, NY 117161871653394
  4. Jasming Price, PSY.DBohemia, NY 117161164846515
  5. Marissa FriiaBellport, NY 117131457273211
  6. Robert Margolis, PHDBellmore, NY 117101891997771
  7. Roseann Sciancalepore, PSY.D.East Northport, NY 117311629234646
  8. Rodney Dimotta, PH.D.East Norwich, NY 117321972708121

Common questions

What is Michael Leonard Nissenbaum, PH.D.'s NPI number?

Michael Leonard Nissenbaum, PH.D.'s National Provider Identifier (NPI) is 1174546725, issued on Jul 25, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Michael Leonard Nissenbaum, PH.D. located?

The NPPES record lists a practice address at 2100 Middle Country RD, Centereach, NY, 11720. Phone: (631) 737-9500. Providers update this record themselves, so call before visiting.

How can I verify Michael Leonard Nissenbaum, PH.D.'s license?

NPPES lists New York license number 010232, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.