Jamie Eiseman, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

024081 Issued in NY

Practice address

1025 Northern Blvd Ste 95
Roslyn, NY 11576-1506

Phone

(917) 817-4004

NPI assigned

Sep 11, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1003585142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BARSTOW RD APT 2I",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212205",
            "telephone_number": "516-578-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 NORTHERN BLVD STE 95",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761506",
            "telephone_number": "917-817-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEMAN",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natacha Duret
• Thomas Dussel, P.A.
• Michael Christopher Dutt, M.D.
• Seth Evan Eichler, M.D.
• Olivia Pauline Einig, PA-C
• George Ekonomou, P.A.
• Dalia Eldeeb
• Elevate Physical Medicine and Rehabilitation, P.C.
• Baruch Elitzur, PH.D
• David J Elkin, M.D.

• Psychologist in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.