Organization Active NPI

Marian Rissenberg, PH.D., Neuropsychologist, PLLC

Doing business as The Center for Neuropsychology

  • Clinical Neuropsychologist
  • Katonah, NY
National Provider Identifier
1275814055
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
009016 Issued in NY
Legal business name
MARIAN RISSENBERG, PH.D., NEUROPSYCHOLOGIST, PLLC
Doing business as
The Center for Neuropsychology
Practice address
125 Katonah Ave
Katonah, NY 10536-2136
Phone
(914) 232-6245
Fax
(914) 232-6245
NPI assigned
Sep 7, 2011
Last updated
Oct 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Dr. Marian Rissenberg, PH.D.NPI 1457634354
Title
Director
Phone
(914) 232-6245

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 NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 009016 NY Primary
Adult Development & Aging PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0700X 009016 NY
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X 009016 NY

Addresses

Primary practice location

125 Katonah Ave
Katonah, NY 10536-2136

Mailing address

125 Katonah Ave
Katonah, NY 10536-2136
Phone (914) 232-6245

Other names 1

  • The Center for Neuropsychology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111104000179 NY Part B Supplier - Clinic/Group Practice 0547433666 Receives reassigned benefits from 1 practitioner
Practice locations: Katonah, NY

National Provider Directory

National Provider Directory

Locations

125 Katonah Ave
Katonah, NY 10536
Phone (914) 232-6245

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": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1275814055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 KATONAH AVE",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362136",
            "telephone_number": "914-232-6245",
            "fax_number": "914-232-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KATONAH AVE",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362136",
            "telephone_number": "914-232-6245",
            "fax_number": "914-232-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN RISSENBERG, PH.D., NEUROPSYCHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "RISSENBERG",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-232-6245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "009016",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NY",
            "license": "009016",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "009016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katonah, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.