Lisette Judyline Dorfman, PHD, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F403988 Issued in NY

Practice address

275 North St
Harrison, NY 10528-1140

Phone

(914) 967-6500

NPI assigned

Jun 15, 2022

Last updated

Jun 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Joseph's Hospital YonkersGroup PAC ID 0547156176, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Medical Center Hospital, Yonkers, NY, CCN 330006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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

• St. Joseph's Hospital Yonkers

  dba Saint Joseph's Hospital Medical Center Department of Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Yonkers, NY
  • NPI 1356316921
  Medicare reassignment Care Compare group NPD
• St Josephs Hospital Yonkers

  • General Acute Care Hospital
  • Harrison, NY
  • NPI 1679883037
  NPD
• St.Vincent' Hospital Westchester Psych

  • Counseling Psychologist
  • Harrison, NY
  • NPI 1932400140
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Josephs Hospital Yonkers

  • General Acute Care Hospital
  • Harrison, NY
  • NPI 1679883037
  Care Compare affiliation
• St. Joseph's Hospital, Yonkers

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1477640258
  Care Compare affiliation
• St.Vincent's Hospital Westchester

  • Case Management Agency
  • Harrison, NY
  • NPI 1760792139

  Hospital

  Care Compare affiliation
• St.Vincent's Hospital Westchester

  • Adult Mental Health Clinic/Center
  • Harrison, NY
  • NPI 1932419306

  Hospital

  Care Compare affiliation
• St.Vincents Hospital Westchester

  • Adult Mental Health Clinic/Center
  • Harrison, NY
  • NPI 1578873949

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1346970050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERLOOK RD APT 3B6",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052454",
            "telephone_number": "914-319-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NORTH ST",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281140",
            "telephone_number": "914-967-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFMAN",
        "first_name": "LISETTE",
        "middle_name": "JUDYLINE",
        "name_prefix": "Dr.",
        "credential": "PHD, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seshagiri R. Doddi, MD
• Kerry Dolan, COTA/L
• Laura Ann Donato, OT R/L
• Jillian Frances Doogan, FNP-BC
• Jean-Claude Doornick, D.C.
• Rebecca Leigh Dorwin-Kipnis, LCSW
• Caitlin Marie Dowling, LCSW
• Angela Downey
• Dr Elisa Kavanagh DPM PC
• Dr. Jay Mathur D.O. PLLC

• Psychiatric/Mental Health Nurse Practitioner in Harrison, NY
• Providers in Harrison, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.