Scott Reisman, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY4332 Issued in FL

Practice address

1050 NE 125TH St
North Miami, FL 33161-5805

Phone

(954) 294-9962

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Janet Levenson Raz, Psy.D., P.a.

  • Clinical Psychologist
  • Cooper City, FL
  • NPI 1356396337
  NPD (past)
• Jeffrey M Gran Psy D PA

  • Clinical Neuropsychologist
  • Plantation, FL
  • NPI 1225137300
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1114143146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 E SARATOGA DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330265009",
            "telephone_number": "954-294-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615805",
            "telephone_number": "954-294-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "SCOTT",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aamir Tallha Razzaq
• Alejandra Razzeto, MD
• Red Stone Manor LLC (Red Stone Place LLC)
• Rachel Ann Reinberg, ARNP
• Benjamin Reinherz, D.O.
• Reliable Super Drugs of Miami LLC (Reliable Super Drugs)
• Luna Remilien, ARNP
• David Remillien
• Wanderline Remy
• Renaissance CMHC

• Clinical Neuropsychologist in North Miami, FL
• Providers in North Miami, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.