OrganizationActive
Wavelengths Psychology, PC
NPI 1013375906 · Clinical Psychologist · Massapequa Park, NY
Provider details
- NPI number
- 1013375906
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Sharon Grand, Owner(800) 871-5491
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4770 Sunrise Hwy
Suite 105
Massapequa Park, NY 11762-2911
Phone: (800) 871-5491
Fax: (800) 871-5491
Street-level locationGet directions
Mailing address
4770 Sunrise Hwy
Massapequa Park, NY 11762-2911
Registry dates
- Enumerated
- 2016-02-05
- Last updated
- 2016-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.