Michael Nissenbaum, PH.D.
NPI 1174546725 · Cognitive & Behavioral Psychologist · Centereach, NY
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Nissenbaum, PH.D. is a Cognitive & Behavioral Psychologist provider in Centereach, NY (NPI 1174546725).
Provider details
- NPI number
- 1174546725
- Entity type
- Individual
- Primary specialty
- Cognitive & Behavioral PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 010232 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michael Nissenbaum's NPI number?
- Michael Nissenbaum's National Provider Identifier (NPI) is 1174546725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Nissenbaum's specialty?
- Michael Nissenbaum is listed in the NPPES registry with a primary specialty of Cognitive & Behavioral Psychologist (Behavioral Health & Social Service Providers).
- Where is Michael Nissenbaum located?
- Michael Nissenbaum's practice location on file with NPPES is 2100 Middle Country Rd, Centereach, NY 11720-3577.
- What is Michael Nissenbaum's phone number?
- The practice phone number listed in the NPPES registry for Michael Nissenbaum is (631) 737-9500.
- Does Michael Nissenbaum accept Medicare?
- Michael Nissenbaum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Nissenbaum's NPI active?
- Yes — Michael Nissenbaum's NPI (1174546725) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.