Individual provider Active NPI

Lisette Judyline Dorfman, PHD, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrison, NY
National Provider Identifier
1346970050
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
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
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph'S Hospital Yonkers 59 clinicians

Practice addresses (Care Compare)

275 N St
Harrison, NY 10528-1140
Phone (914) 967-6500

Hospital & facility affiliations

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

Medicare participation

Medicare enrollment files
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240328000940 NY Practitioner - Nurse Practitioner 4486091212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
F403988NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles (3 of 6)

OrganizationSpecialtyStatusNew patients
St.Vincent' Hospital Westchester Psych CurrentSince Feb 6, 2024 Accepting new patients
St. Joseph'S Hospital Yonkers Current Accepting new patients
St Josephs Hospital Yonkers CurrentSince Feb 6, 2024 Accepting new patients

Locations

275 North St
Harrison, NY 10528
Phone (914) 925-5211

Networks

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403988 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

275 North St
Harrison, NY 10528-1140

Mailing address

2 Overlook Rd Apt 3B6
White Plains, NY 10605-2454
Phone (914) 319-0780

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2022.

{
    "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": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.