Healthcare Provider Details

I. General information

NPI: 1578281069
Provider Name (Legal Business Name): MINHNGUYEN CAO PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

487 S BROADWAY
YONKERS NY
10705-3269
US

IV. Provider business mailing address

845 N BROADWAY
WHITE PLAINS NY
10603-2403
US

V. Phone/Fax

Practice location:
  • Phone: 914-423-4433
  • Fax: 914-423-4433
Mailing address:
  • Phone: 914-761-0600
  • Fax: 914-761-5367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35SI00792600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number027593
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: