Dr. Michael Leonard Nissenbaum
PH.D. | Cognitive & Behavioral Psychologist | 37+ years Exp
2100 Middle Country Rd, Suite 28w, Centereach
New York, 11720-3577
631-737-9500 631-737-9512
Maps & DirectionsDr. Michael Leonard Nissenbaum is a Centereach, New York based psychologist with 37 years of experience in Cognitive & Behavioral Psychology. He completed his graduation in 1988. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Michael Leonard Nissenbaum is 010232 for Cognitive & Behavioral Psychology in New York. His current practice location is 2100 Middle Country Rd, Suite 28w, Centereach. Patients can reach him at 631-737-9500 or can fax him at 631-737-9512. Dr. Michael Leonard Nissenbaum is PH.D. in Cognitive & Behavioral Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1174546725.
Dr. Michael Leonard Nissenbaum has variety of professional responsibilities, including assessment (identifying, diagnosing, and conceptualizing problems experienced by individuals or groups), intervention (creating, implementing and evaluating interventions designed to induce positive change) and consultation. Cognitive Behavioral Psychologists also participates in research, education, training, and clinical practice including a range of issues and populations.
Complete Profile:
Dr. Michael Leonard Nissenbaum speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Michael Leonard Nissenbaum |
| Specialization: | Cognitive & Behavioral Psychology |
| Gender: | Male |
| Credentials: | PH.D. |
| Experience: | 37+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1988 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2100 Middle Country Rd, Suite 28w, Centereach, New York, 11720-3577 |
| Phone: | 631-737-9500 |
| Fax: | 631-737-9512 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2264336296 |
| Enrollment ID: | I20031121000443 |
| NPI Number: | 1174546725 |
| NPI Enumeration Date: | 25 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Leonard Nissenbaum are as mentioned below.
| License Number | Specialization | State | Status | |
| 010232 | Cognitive & Behavioral Psychology | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Michael Leonard Nissenbaum Po Box 625, Centereach, New York |
| Zip: | 11720-0625 |
| Phone Number: | 631-737-9500 |
| Fax Number: | 631-737-9512 |
Patients can reach Dr. Michael Leonard Nissenbaum at
2100 Middle Country Rd, Suite 28w, Centereach, New York or can
call to book an appointment on 631-737-9500.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.