NPIMap

Organization Active NPI

Dr. Nastassia Rebecca Riser, a Professional Psychological Corporation

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1063053726
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. NASTASSIA REBECCA RISER, A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice address
700 Garden View CT Ste 201J
Encinitas, CA 92024-2479
Phone
(760) 492-9057
NPI assigned
Oct 3, 2019
Last updated
Oct 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Dr. Rebecca (Nastassia) E Riser, M.S., PH.D.NPI 1831486778
Title
Clinical Director
Phone
(760) 492-9057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Health Service Clinic/Center 261QH0100X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

700 Garden View CT Ste 201J
Encinitas, CA 92024-2479

Mailing address

700 Garden View CT Ste 201J
Encinitas, CA 92024-2479
Phone (760) 492-9057

National Provider Directory

National Provider Directory

Locations

700 Garden View Ct
Ste 201J
Encinitas, CA 92024
Phone (760) 492-9057

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1063053726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 201J",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242479",
            "telephone_number": "760-492-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 201J",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242479",
            "telephone_number": "760-492-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NASTASSIA REBECCA RISER, A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "RISER",
        "authorized_official_first_name": "REBECCA (NASTASSIA)",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "760-492-9057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S., PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.