Active NPI
Yael Nissanian
- Psychologist
- White Plains, NY
National Provider Identifier
1053134593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P132256
- Practice address
- 21 Bloomingdale Rd
White Plains, NY 10605-1504 - Phone
- (914) 682-5431
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | P132256 | NY | Primary |
Addresses
Primary practice location
21 Bloomingdale Rd
White Plains, NY 10605-1504
Mailing address
3 River Rd
Suffern, NY 10901-3713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P132256 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1053134593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RIVER RD",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109013713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BLOOMINGDALE RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051504",
"telephone_number": "914-682-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISSANIAN",
"first_name": "YAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "P132256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.