KHANDISSA BROWN
NPI 1083390215
Psychologist in Melville, NY

Active since June 22, 2023
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747(917) 415-4958 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khandissa Brown NPPES

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

KHANDISSA BROWN (NPI 1083390215) is an individual psychologist in Melville, New York, licensed in New York (1714304231) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1083390215
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKHANDISSA BROWN
Location Address225 BROADHOLLOW RD STE 402Melville, NY 11747-4899
Mailing Address225 Broadhollow Rd Ste 402Melville, NY 11747-4899
Sole ProprietorNo
Enumeration DateJune 22, 2023
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
NPI 1083390215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 1714304231
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
225 BROADHOLLOW RD STE 402, Melville, NY 11747

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Analyst
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Specialist
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747

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 Khandissa Brown's NPI number?

The NPI number for Khandissa Brown is 1083390215. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Khandissa Brown located?

Khandissa Brown practices at 225 Broadhollow Rd Ste 402, Melville, NY 11747. The listed phone number is (917) 415-4958.

What is Khandissa Brown's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Khandissa Brown was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.