AMANDA DIANA PERSAUD PHD NPI 1083481113

NPI Information

  • NPI: 1083481113
  • Provider Name: AMANDA DIANA PERSAUD, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 4628 VERNON BLVD STE 103
    LONG ISLAND CITY, NY
    ZIP 11101
  • Phone: (914) 494-2936

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NPI Details

Amanda Diana Persaud, PHD is a clinical psychologist in Long Island City, 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. Amanda Diana Persaud, PHD NPI is 1083481113. 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:

4628 VERNON BLVD STE 103
LONG ISLAND CITY, NY
ZIP 11101-352
Phone: (914) 494-2936

The enumeration date for this NPI number is 12/8/2023 and was last updated on 11/19/2024.

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
1103TC0700XPsychologistClinical026204NEW YORKYes

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: 11/21/2025

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