DR. MICHAEL J SMALL PH.D.
NPI 1992914360
Clinical Neuropsychologist in Long Lake, NY

Q: What is Michael Small's NPI number?

The NPI number for Michael Small is 1992914360. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Michael Small's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Small was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since May 22, 2007

49 FAWN WAY, LONG LAKE, NY 12847(518) 624-3346(518) 624-5557 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Michael J Small Ph.d. NPPES

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

DR. MICHAEL J SMALL PH.D. (NPI 1992914360) is an individual clinical neuropsychologist in Long Lake, New York, licensed in New York (013837) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1992914360

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. MICHAEL J SMALLCredential: PH.D.

Location Address49 FAWN WAYLong Lake, NY 12847-0130

Mailing AddressPo Box 130Long Lake, NY 12847-0130 · (518) 624-3346 · Fax (518) 624-5557

Phone(518) 624-3346

Fax(518) 624-5557

Sole ProprietorYes

Enumeration DateMay 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1992914360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in NY · 013837

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

49 FAWN WAY, Long Lake, NY 12847

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Other Identifiers 1

Medicare ID-Type UnspecifiedBB8932NY

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 Small's NPI number?

The NPI number for Michael Small is 1992914360. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Michael Small located?

Michael Small practices at 49 Fawn Way, Long Lake, NY 12847. The listed phone number is (518) 624-3346.

What is Michael Small's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Michael Small was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.