Michael Matthew Reisner, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004318

Practice address

199 Main St.
New Paltz, NY 12561

Phone

(845) 332-9500

NPI assigned

Jun 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1124288055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MAIN ST.",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "12561",
            "telephone_number": "845-332-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST.",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "12561",
            "telephone_number": "845-332-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISNER",
        "first_name": "MICHAEL",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "004318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D. Raskin, PH.D.
• Reshma Ravindran, MD
• Stephanie Marie Reagan, O.D.
• Akashlina Reidy
• Julia Reischel, LMSW
• Yuvelca M Reyes, CERTIFIED DOULA
• Renee Reynolds, LCSWR
• Michelle G Rhodes, LCSW, ATR-BC, NCPSYA
• Richard a. Kleiger, MD
• Rite Aid of New York Inc

• Mental Health Counselor in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.