DR. DINA VIVIAN PH.D. NPI 1548258817

NPI Information

NPI: 1548258817
Provider Name: DR. DINA VIVIAN, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
1239 ROUTE 25A
SUITE 6A
STONY BROOK, NY
ZIP 11790
Phone: (631) 689-3483
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DR. Dina Vivian, PH.D. is a clinical psychologist in Stony Brook, NY. The provider is 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. DR. Dina Vivian, PH.D. NPI is 1548258817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1239 ROUTE 25A
SUITE 6A
STONY BROOK, NY
ZIP 11790-934
Phone: (631) 689-3483
Fax: (631) 584-5261

The NPI 1548258817 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/11/2005 and was last updated on 11/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	009593	NEW YORK	No
2	103TC0700X	Psychologist	Clinical	009593	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V41641	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	069201	OTHER	NEW MEXICO	VALUE OPTIONS
3	085652000	OTHER	NEW YORK	MAGELLAN BEHAVIORAL HEALT
4	0038569	OTHER	NEW YORK	GHI
5	P590784	OTHER	NEW YORK	OXFORD HEALTH INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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