DR. MANSOUR (MAX) BANILIVY PH.D.
NPI 1023026754
Psychologist - Clinical in Merrick, NY

Active since August 05, 2006
2615 MERRICK AVE, MERRICK, NY 11566(516) 627-9432(516) 867-0013 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mansour (max) Banilivy Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANSOUR (MAX) BANILIVY PH.D. (NPI 1023026754) is an individual clinical provider in Merrick, New York, licensed in New York (007526) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023026754
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MANSOUR (MAX) BANILIVYCredential: PH.D.
Location Address2615 MERRICK AVEMerrick, NY 11566-4622
Mailing Address2615 Merrick AveMerrick, NY 11566-4622 · (516) 627-9432 · Fax (516) 867-0013
Fax(516) 867-0013
Sole ProprietorYes
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1023026754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 007526
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2615 MERRICK AVE, Merrick, NY 11566

Other Identifiers 2

Medicare ID-Type UnspecifiedV2099100NY
Medicaid00795840NY

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mansour (max) Banilivy's NPI number?

The NPI number for Mansour (max) Banilivy is 1023026754. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Mansour (max) Banilivy located?

Mansour (max) Banilivy practices at 2615 Merrick Ave, Merrick, NY 11566. The listed phone number is (516) 627-9432.

What is Mansour (max) Banilivy's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Mansour (max) Banilivy accept?

Health plans from Providence Health Plan list Mansour (max) Banilivy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mansour (max) Banilivy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.