BREANNA VIZLAKH PHD
NPI 1780522995
Psychologist in Glen Head, NY

Active since March 23, 2026
30 GLEN HEAD RD STE 3, GLEN HEAD, NY 11545(347) 464-2275 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna Vizlakh Phd NPPES

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

BREANNA VIZLAKH PHD (NPI 1780522995) is an individual psychologist in Glen Head, New York, licensed in New York (027571) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1780522995
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameBREANNA VIZLAKHCredential: PHD
Location Address30 GLEN HEAD RD STE 3Glen Head, NY 11545-1433
Mailing Address600 Pine Hollow Rd Apt 7-4bEast Norwich, NY 11732-1025 · (347) 464-2275
Sole ProprietorYes
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
NPI 1780522995 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 · 027571
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.
30 GLEN HEAD RD STE 3, Glen Head, NY 11545

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
30 GLEN HEAD RD STE 3
GLEN HEAD, NY 11545
Psychologist (Clinical)
30 GLEN HEAD RD STE 3
GLEN HEAD, NY 11545

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 Breanna Vizlakh's NPI number?

The NPI number for Breanna Vizlakh is 1780522995. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Breanna Vizlakh located?

Breanna Vizlakh practices at 30 Glen Head Rd Ste 3, Glen Head, NY 11545. The listed phone number is (347) 464-2275.

What is Breanna Vizlakh'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 Breanna Vizlakh was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.