MS. VIOLET ANN MANDRACCHIA MA CEAS LCSW
NPI 1104979079
Psychologist in Stony Brook, NY

Active since January 22, 2007
15 SHORE OAKS DRIVE, STONY BROOK, NY 11790(212) 979-5650 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Violet Ann Mandracchia Ma Ceas Lcsw NPPES

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

MS. VIOLET ANN MANDRACCHIA MA CEAS LCSW (NPI 1104979079) is an individual psychologist in Stony Brook, New York, licensed in New York (LR042082) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104979079
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. VIOLET ANN MANDRACCHIACredential: MA CEAS LCSW
Location Address15 SHORE OAKS DRIVEStony Brook, NY 11790
Mailing Address15 Shore Oaks DriveStony Brook, NY 11790 · (631) 689-3116 · Fax (631) 689-3116
Sole ProprietorNo
Enumeration DateJanuary 22, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1104979079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · LR042082
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License LR042082 (NY)
15 SHORE OAKS DRIVE, Stony Brook, NY 11790

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 Violet Mandracchia's NPI number?

The NPI number for Violet Mandracchia is 1104979079. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Violet Mandracchia located?

Violet Mandracchia practices at 15 Shore Oaks Drive, Stony Brook, NY 11790. The listed phone number is (212) 979-5650.

What is Violet Mandracchia'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 Violet Mandracchia was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.