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AMANDA DIANA PERSAUD PHD
NPI 1083481113
Psychologist - Clinical in Long Island City, NY

Active since December 08, 2023
4628 VERNON BLVD STE 103, LONG ISLAND CITY, NY 11101(914) 494-2936 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2024, Dec 8, 2023 (2 updates tracked since 2023).

About Amanda Diana Persaud Phd NPPES

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

AMANDA DIANA PERSAUD PHD (NPI 1083481113) is an individual clinical provider in Long Island City, New York, licensed in New York (026204) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1083481113
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAMANDA DIANA PERSAUDCredential: PHD
Location Address4628 VERNON BLVD STE 103Long Island City, NY 11101-5352
Mailing Address4628 Vernon Blvd Ste 103Long Island City, NY 11101-5352 · (646) 902-4792
Phone(914) 494-2936
Sole ProprietorYes
Enumeration DateDecember 8, 2023
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1083481113 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 · 026204
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.
4628 VERNON BLVD STE 103, Long Island City, NY 11101
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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 Amanda Persaud's NPI number?

The NPI number for Amanda Persaud is 1083481113. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Where is Amanda Persaud located?

Amanda Persaud practices at 4628 Vernon Blvd Ste 103, Long Island City, NY 11101. The listed phone number is (914) 494-2936.

What is Amanda Persaud's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Persaud was last updated on November 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.