Individual provider · Type 1 NPI
Michael Leonard Nissenbaum, PhD
Cognitive & Behavioral Psychologist · Centereach, NY
Practice location
2100 Middle Country Rd, Suite 28W
Centereach, NY 11720-3577
Fax (631) 737-9512
Mailing address
PO Box 625
Centereach, NY 11720-0625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist Primary | 103TB0200X | 010232 (NY) |
Cognitive & Behavioral Psychologist: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
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About NPI 1174546725
Michael Leonard Nissenbaum, PhD's National Provider Identifier is 1174546725, issued on Jul 25, 2006. The primary taxonomy on file is Cognitive & Behavioral Psychologist (103TB0200X), and the practice location is in Centereach, NY. The record was last updated on Jul 8, 2007.