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DR. MICHAEL NETTIS-BENSTOCK PSY.D
NPI 1699441576
Psychologist - Clinical in Jericho, NY

Active since August 19, 2021
290 BIRCHWOOD PARK DR, JERICHO, NY 11753(516) 376-1417 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Oct 2, 2024, Jan 3, 2024 and 1 more (4 updates tracked since 2021).

About Dr. Michael Nettis-benstock Psy.d NPPES

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

DR. MICHAEL NETTIS-BENSTOCK PSY.D (NPI 1699441576) is an individual clinical provider in Jericho, New York, licensed in New York (025656) and active in the NPI registry since August 2021. He maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1699441576
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL NETTIS-BENSTOCKCredential: PSY.D
Location Address290 BIRCHWOOD PARK DRJericho, NY 11753-2307
Mailing Address290 Birchwood Park DrJericho, NY 11753-2307 · (516) 376-1417
Phone(516) 376-1417
Sole ProprietorYes
Enumeration DateAugust 19, 2021
Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1699441576 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 · 025656
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.
290 BIRCHWOOD PARK DR, Jericho, NY 11753
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Secondary Practice Location 1

Location 1205 Hudson St Fl 9New York, NY 10013-1810 · Phone (929) 260-2176

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 Michael Nettis-benstock's NPI number?

The NPI number for Michael Nettis-benstock is 1699441576. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Michael Nettis-benstock located?

Michael Nettis-benstock practices at 290 Birchwood Park Dr, Jericho, NY 11753. The listed phone number is (516) 376-1417.

What is Michael Nettis-benstock'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 Michael Nettis-benstock was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.